Individual
DR. SOHRAB ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4250 CERRILLOS RD STE 1202, SANTA FE, NM 87507-0920
(505) 982-4867
Mailing address
9405 ENDEE RD NW, ALBUQUERQUE, NM 87120-1752
(505) 514-3996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4532
NM
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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