Individual
DR. AHMED MANASSRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
841 BLOSSOM HILL RD STE 202, SAN JOSE, CA 95123-2708
(408) 913-5946
Mailing address
1102 S ABEL ST APT 332, MILPITAS, CA 95035-9043
(408) 913-5946
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
106754
CA
1223G0001X
General Practice Dentistry
Primary
106754
CA
Other
Enumeration date
08/01/2021
Last updated
05/21/2025
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