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NPI Code Detail

MEDICARE: NANDINI.R.MURTHY D.D.S INC

MEDICARE: NANDINI.R.MURTHY D.D.S INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry38886CA

General Provider Information

NPI Number : 1306981873
Entity Type Code : Organization
Provider Name (Legal Business Name) : NANDINI.R.MURTHY D.D.S INC
Provider Business Mailing Address
First Line : 2723 N BRISTOL ST
Second Line : SUITE D-7
City : SANTA ANA
State : CA
Zip : 92706-1419
Country : US
Telephone Number : 714-569-0021
Fax Number : 714-569-0020
Provider Business Practice Location Address
First Line : 2723 N BRISTOL ST
Second Line : SUITE D-7
City : SANTA ANA
State : CA
Zip : 92706-1419
Country : US
Telephone Number : 714-569-0021
Fax Number : 714-569-0020
Authorized Official
Title or Position : PRESIDENT
Name : DR. NANDINI R MURTHY
Credential : D.D.S
Telephone Number : 714-569-0021
Provider Enumeration Date : 02/21/2007
Last Update Date : 06/24/2008

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Directions to “NANDINI.R.MURTHY D.D.S INC ” Practice Location

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