Individual
DR. ALI EHSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13805 PEMBERLEY PASSAGE AVE, BAKERSFIELD, CA 93311-8745
(949) 273-9681
Mailing address
13805 PEMBERLEY PASSAGE AVE, BAKERSFIELD, CA 93311-8745
(949) 273-9681
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
52380
CA
1223G0001X
General Practice Dentistry
52380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D52380
—
CA
Enumeration date
02/02/2007
Last updated
07/08/2020
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