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Dr. Nicole Habib, DMD

Dentist in Perris, CA. Individual provider (NPI-1).

NPI number1982480919
StatusActive
Last updated in NPPESSep 5, 2023

Details

NPI
1982480919
Entity type
Individual (NPI-1)
Name
Dr. Nicole Habib
Credential
DMD
Sex
Female
Sole proprietor
No
Enumeration date
Sep 5, 2023
Certification date
Sep 5, 2023
Last updated
Sep 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist109183CAYes

Practice location

3150 Case Rd Bldg C
Perris, CA 92570-5552

Phone 951-345-4386

Mailing address

4763 Bunnelle Ave
La Verne, CA 91750-2422

Phone 909-306-9821

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