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Provider Information for 1841492576



DALIA NIKNAM D.D.S.

Gender: FEMALE

Individual NPI: 1841492576

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1841492576
Enumeration Date 2007-06-04
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 3662 KATELLA AVE. SUITE202
LOS ALAMITOS, CA 90720-3189
United States

Phone: 562-799-9535 | Fax: 562-799-9536
View Map External Link
Primary Practice Address 3662 KATELLA AVE SUITE202
LOS ALAMITOS, CA 90720-3124
United States

Phone: 562-799-9535 | Fax: 562-799-9536
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 49960