Omeir Tariq Ansari, DDS
Dentist in Lake Mary, FL. Individual provider (NPI-1).
NPI number1891337366
StatusActive
Last updated in NPPESOct 16, 2019
Details
- NPI
- 1891337366
- Entity type
- Individual (NPI-1)
- Name
- Omeir Tariq Ansari
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2019
- Last updated
- Oct 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 24485 | FL | Yes |
Practice location
3779 Lake Emma RdLake Mary, FL 32746-6156
Phone 407-547-1359
Mailing address
5305 Hawk DrKissimmee, FL 34746
Phone 407-749-9656
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