Nina Amy Mohazzab, D.D.S.

Dentist · Castro Valley, CA

Individual Active NPI

NPI number 1548641772

Practice location

3779 E Castro Valley Blvd
Castro Valley, CA 94552-4835
Phone
(408) 460-9677

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NPI record

NPI
1548641772
Entity type
Individual (Type 1)
Enumeration date
June 12, 2015
Last updated
October 20, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 100693 CA

Mailing address

19502 Via Monte Dr
Saratoga, CA 95070-4522
Phone
(408) 460-9677

About Dr. Mohazzab

Nina Amy Mohazzab, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3779 E Castro Valley Blvd, Castro Valley, CA 94552-4835. The NPI number 1548641772 was assigned on June 12, 2015 and the record was last updated on October 20, 2016.

Dr. Mohazzab lists a license in the registry: #100693 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nina Amy Mohazzab, D.D.S.?

The NPI number is 1548641772.

What is the phone number of Dr. Mohazzab?

The phone number listed for the practice location is (408) 460-9677.

Where is Dr. Mohazzab located?

3779 E Castro Valley Blvd, Castro Valley, CA 94552-4835.

What is the taxonomy code for Dr. Mohazzab?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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