Nikta Mansouri
Nikta Mansouri is a General Practice Dentistry in Roanoke Rapids, North Carolina. Licensed in Minnesota and North Carolina. Registered with an NPI since 2023.
- Licensed in
- MN, NC
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
310 Premier BlvdRoanoke Rapids, NC 27870-5080
Phone: (252) 219-3153
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 14021 (NC) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence D14993 (MN) |
Record details
| NPI number | 1164207981 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 29, 2023 |
| Last updated in NPPES | November 25, 2024 |
| Certification date | November 25, 2024 |
| Mailing address | 4110 Briargrove Cir Unit 3-213, Raleigh, NC 27607-6533 |
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