Individual provider · Type 1 NPI
Ninousha Basti, D.D.S
General Practice Dentistry · San Clemente, CA
NPI number
1164551800
Active
Practice location
150 Avendia Del Mar, Ste. C
San Clemente, CA 92672
Fax (949) 347-9549
Mailing address
150 Avenida Del Mar, Ste. C
San Clemente, CA 92672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 55294 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1164551800
Ninousha Basti, D.D.S's National Provider Identifier is 1164551800, issued on Mar 5, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Clemente, CA. The record was last updated on Aug 10, 2015.