Provider Demographics
NPI:1730483520
Name:AFLATOONI, NIMA (DDS)
Entity Type:Individual
Prefix:DR
First Name:NIMA
Middle Name:
Last Name:AFLATOONI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11230 GOLD EXPRESS DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:GOLD RIVER
Mailing Address - State:CA
Mailing Address - Zip Code:95670-4484
Mailing Address - Country:US
Mailing Address - Phone:916-635-9605
Mailing Address - Fax:916-635-9047
Practice Address - Street 1:11230 GOLD EXPRESS DR
Practice Address - Street 2:SUITE 301
Practice Address - City:GOLD RIVER
Practice Address - State:CA
Practice Address - Zip Code:95670-4484
Practice Address - Country:US
Practice Address - Phone:916-635-9605
Practice Address - Fax:916-635-9047
Is Sole Proprietor?:No
Enumeration Date:2011-01-07
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA598901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice