Nirvana Anoosheh, DDS

Individual provider Active NPI General Practice Dentistry · Sunnyvale, CA

NPI 1609149277 · NPPES record last updated Feb 13, 2012

Key facts

NPI
1609149277
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
43681 (CA)
Practice address
1210 E Arques Ave
Suite 201
Sunnyvale, CA 94085-5421
Phone
(408) 746-0379
Fax
(408) 746-0302
NPI assigned
Feb 13, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
43681CAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43681 CA Yes

Addresses

Primary practice location

1210 E Arques Ave
Suite 201
Sunnyvale, CA 94085-5421

Mailing address

1210 E Arques Ave
Suite 201
Sunnyvale, CA 94085-5421
Phone (408) 746-0379

Other providers in Sunnyvale, CA

All providers in Sunnyvale, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.