Nelofer Ansari, D.D.S.
Dentist, General Practice in Oakland, CA. Individual provider (NPI-1).
NPI number1669575783
StatusActive
Last updated in NPPESAug 23, 2013
Details
- NPI
- 1669575783
- Entity type
- Individual (NPI-1)
- Name
- Nelofer Ansari
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2006
- Last updated
- Aug 23, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 48875 | CA | Yes |
| 1223G0001X | Dentist, General Practice | DDS48875 | CA |
Practice location
3050 East 16th St.Fruitvale Dental
Oakland, CA 94601-2319
Phone 510-535-4700 · Fax 510-535-4283
Mailing address
P.O. Box 22210Oakland, CA 94623-2210
Phone 510-535-4000 · Fax 510-535-4225
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