Nishida, Michael Minoru

Nishida, Michael Minoru is an sole proprietor health care provider with primary practice located at 1295 E Las Tunas Dr , San Gabriel CA 91776-1703. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Nishida, Michael Minoru can be contacted via phone (626) 287-1153.

Contact Information

Primary practice address
1295 E Las Tunas Dr San Gabriel CA 91776-1703
Phone: (626) 287-1153
Fax: (626) 287-1456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 40179 California

Profile Details

NPI number 1124157888
LBN Legal business name Nishida, Michael Minoru
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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