Ansari, Moham M

Ansari, Moham M is an sole proprietor health care provider with primary practice located at 4815 Watt Ave , North Highlands CA 95660-5108. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Ansari, Moham M can be contacted via phone (855) 354-2242.

Contact Information

Primary practice address
4815 Watt Ave North Highlands CA 95660-5108
Phone: (855) 354-2242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 102994 California

Profile Details

NPI number 1649718578
LBN Legal business name Ansari, Moham M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2017
Last updated Aug 31st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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