MITRA NIKPOUR, DDS

Dentist - General Practice

Active Individual
NPI: 1356085336

Practice Address

4164 S BROADWAY AVE # 822
Tyler, TX 75701

Phone: (626) 222-2427

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 39056 (TX)

Frequently Asked Questions

NPI 1356085336 is the National Provider Identifier for MITRA NIKPOUR, DDS, a Dentist - General Practice provider located in Tyler, TX. This NPI was enumerated on April 25, 2022.
MITRA NIKPOUR, DDS practices at 4164 S BROADWAY AVE # 822, Tyler, TX 75701.

Quick Facts

NPI
1356085336
Type
Individual
Enumerated
Apr 25, 2022
Last Updated
Aug 14, 2023

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