Ninousha Basti, D.D.S
NPI #1164551800 in San Clemente, California
Provider Information
- NPI Number
- 1164551800
- Entity Type
- Individual
- Name
- Ninousha Basti, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Aug 10, 2015
Practice Location
- Address
- 150 AVENDIA DEL MAR, STE. C
- City
- San Clemente
- State
- California
- ZIP Code
- 92672
- Phone
- (949) 347-0780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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