NPI | 1265832992 |
---|---|
Other Name | NIMA DAMON SARMAST POR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 101819) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: AZ D010520) |
1223P0300X Dentist, Periodontics (Licence: TX 30402) | |
Enumeration Date | 2014-08-29 |
Last Update Date | 2020-04-01 |