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NELDA AMINI
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1841891314
Individual Registrant: NELDA AMINI
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
11635 SOUTH ST ARTESIA, CA 90701-6628 US
Tel: 310-409-4265 Fax: --
Tel: 310-409-4265 Fax: --
Contact information for business:
706 WYCLIFFE IRVINE, CA 92602-1217 US
Tel: 713-330-5444 Fax: --
Tel: 713-330-5444 Fax: --
Registration Information:
NPI: 1841891314
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | DDS105642 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| DDS105642 | CA | 05 |
