Provider Demographics
NPI:1992902910
Name:NEIMAR, DONKA (DDS)
Entity type:Individual
Prefix:DR
First Name:DONKA
Middle Name:
Last Name:NEIMAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:DONKA
Other - Middle Name:
Other - Last Name:NEIMAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS PC
Mailing Address - Street 1:3610 W LOMITA BLVD
Mailing Address - Street 2:STE 202
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505
Mailing Address - Country:US
Mailing Address - Phone:310-465-0565
Mailing Address - Fax:310-465-0835
Practice Address - Street 1:3610 W LOMITA BLVD
Practice Address - Street 2:STE 202
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505
Practice Address - Country:US
Practice Address - Phone:310-465-0565
Practice Address - Fax:310-465-0835
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA402851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice