Provider Demographics
NPI:1669537577
Name:NOJOMIAN, SIMA MAH (DDS)
Entity type:Individual
Prefix:DR
First Name:SIMA
Middle Name:MAH
Last Name:NOJOMIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MAH SIMA
Other - Middle Name:
Other - Last Name:NOJOMIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:24991 VIA MARFIL
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-2422
Mailing Address - Country:US
Mailing Address - Phone:949-855-8476
Mailing Address - Fax:949-855-8476
Practice Address - Street 1:24991 VIA MARFIL
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-2422
Practice Address - Country:US
Practice Address - Phone:949-855-8476
Practice Address - Fax:949-855-8476
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA520951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice