Pour-Ansari, Fariba

Pour-Ansari, Fariba is an sole proprietor health care provider with primary practice located at 2320 Woolsey St Ste 312 , Berkeley CA 94705-1976. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Pour-Ansari, Fariba can be contacted via phone (510) 848-8624.

Contact Information

Primary practice address
2320 Woolsey St Ste 312 Berkeley CA 94705-1976
Fax: (510) 848-0585
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 48168 California

Profile Details

NPI number 1386705168
LBN Legal business name Pour-Ansari, Fariba
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 18 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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