Individual
AMITISS NASIRI-ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2781 W. MACARTHUR BLVD #N, SANTA ANA, CA 92704
(714) 556-7277
Mailing address
2781 W. MACARTHUR BLVD #N, SANTA ANA, CA 92704
(714) 556-7277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55817
CA
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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