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1164551800
NINOUSHA BASTI
SAN CLEMENTE, CA
NPI
1164551800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 55294)
Enumeration Date
2007-03-05
Last Update Date
2015-08-10
Business Address
-- NINOUSHA BASTI D.D.s
150 AVENDIA DEL MAR, STE. C
SAN CLEMENTE, CA 92672
Phone number: 949-347-0780
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Mailing Address
-- NINOUSHA BASTI D.D.s
150 AVENIDA DEL MAR, STE. C
SAN CLEMENTE, CA 92672
Phone number: 949-492-0330
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