Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 100781 | CA |
NPI | 1720534886 |
---|---|
Provider Name | Dr. Parissa Nessa Baiera |
First Address | San Diego, CA 92107-1353 |
Second Address | San Diego, CA 92101-7638 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2016 |
Last Update Date | 15/03/2021 |