Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicole Mahanian

Individual provider Dentist · NPI 1104370972

Dr. Nicole Mahanian is a Dentist in Sacramento, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
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Practice location Address checks out

2005 Evergreen St Ste 1550
Sacramento, CA 95815-3892
Phone: (310) 486-4772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 100589 (CA)

Record details

NPI number1104370972
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2016
Last updated in NPPESAugust 10, 2016

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