Nina Basti Dds, INC

NPI #1578985297 in San Clemente, California

Provider Information

NPI Number: 1578985297
Entity Type: Organization
Organization Name: Nina Basti Dds, INC
Primary Specialty: Dentist
Enumeration Date: Jan 15, 2014
Last Updated: Jan 15, 2014

Practice Location

Address: 150 AVENIDA DEL MAR
Address 2: STE C
City: San Clemente
State: California
ZIP Code: 92672-4010
Phone: (949) 492-0330

Authorized Official

Name: DR. NINOUSHA BASTI, DDS
Title: DENTIST
Phone: (949) 492-0330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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