Individual
AIDA AMERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2012 KATHERINE PL, ROSEVILLE, CA 95678-1015
(310) 990-5142
Mailing address
2012 KATHERINE PLACE, ROSEVILLE, CA 95678
(310) 990-5142
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
62033
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2011
Last updated
11/22/2016
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