Nino Kobakhidze

NPI #1477005817 in Daly City, California

Provider Information

NPI Number: 1477005817
Entity Type: Individual
Name: Nino Kobakhidze
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Nov 2, 2016
Last Updated: Nov 2, 2016

Practice Location

Address: 4166 CALLLAN BLVD
City: Daly City
State: California
ZIP Code: 94015-4430
Phone: (415) 939-0994

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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