Individual
BITA ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
44407 CHALLENGER WAY, LANCASTER, CA 93535-3237
(657) 236-0483
Mailing address
907 WESTWOOD BLVD # 1115, LOS ANGELES, CA 90024-2904
(747) 254-8123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104567
CA
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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