Individual
AMBEREEN ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4520 HOLLAND AVE APT 104, DALLAS, TX 75219-2141
(972) 974-4755
Mailing address
4520 HOLLAND AVE APT 104, DALLAS, TX 75219-2141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25767
TX
Other
Enumeration date
08/02/2010
Last updated
08/03/2010
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