Provider Demographics
NPI:1164491916
Name:JAHANGIRI HAGHIGHI, NASRIN (DDS)
Entity Type:Individual
Prefix:MRS
First Name:NASRIN
Middle Name:
Last Name:JAHANGIRI HAGHIGHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 PEPPER DRIVE
Mailing Address - Street 2:SUITE #F
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243
Mailing Address - Country:US
Mailing Address - Phone:760-353-0087
Mailing Address - Fax:760-353-5654
Practice Address - Street 1:1550 PEPPER DRIVE
Practice Address - Street 2:SUITE #F
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243
Practice Address - Country:US
Practice Address - Phone:760-353-0087
Practice Address - Fax:760-353-5654
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-15
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49114122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist