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1891244943
MINA NISHIMOTO
LOMA LINDA, CA
NPI
1891244943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA DE60537943)
Enumeration Date
2016-09-30
Last Update Date
2016-09-30
Business Address
-- MINA NISHIMOTO DDS, MS
11092 ANDERSON ST
LOMA LINDA, CA 92350-1706
Phone number: 909-558-4222
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Mailing Address
-- MINA NISHIMOTO DDS, MS
25334 COLE ST
LOMA LINDA, CA 92354-3104
Phone number: 909-705-2110
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