NIVEEN KRYAKOS

YUMA, AZ
NPI1821780875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AZ  D012287)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-05-25
Last Update Date2024-09-07
Business Address
NIVEEN KRYAKOS
2060 W 24TH ST
YUMA, AZ 85364-6123
Phone number: 928-819-8999
Mailing Address
NIVEEN KRYAKOS
2980 EPAULETTE ST
SAN DIEGO, CA 92123-3113
Phone number: 619-402-7989