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Individual
DR. MURTUZA ANSARI
Active
Individual
DR. MURTUZA ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC3819
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01326192
UNITED CONCORDIA ID
SC
01
—
BCBSAL 880-146
BCBS OF ALABAMA
SC
05
—
ZX3819
—
SC
Enumeration date
04/28/2006
Last updated
03/01/2011
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