Individual
NIVEEN KRYAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2060 W 24TH ST, YUMA, AZ 85364-6123
(928) 819-8999
Mailing address
2980 EPAULETTE ST, SAN DIEGO, CA 92123-3113
(619) 402-7989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012287
AZ
122300000X
Dentist
DDS110290
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2023
Last updated
01/30/2026
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