Individual provider · NPI-1

Genevieve Abi-Nahed, DMD

Dentist, Orthodontics and Dentofacial Orthopedics · San Diego, CA

NPI number1225200371
StatusActive
Last updated in NPPESMay 16, 2019

Details

NPI
1225200371
Entity type
Individual (NPI-1)
Name
Genevieve Abi-Nahed
Credential
DMD
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 28, 2008
Last updated
May 16, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics60032CAYes
1223P0300X Dentist, Periodontics60032CA

Practice location

5210 Balboa Ave Ste A2
San Diego, CA 92117

Phone 858-598-5842 · Fax 858-598-5842

Mailing address

5210 Balboa Ave Ste A2
San Diego, CA 92117

Phone 858-598-5842 · Fax 858-598-5842

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