Individual
DR. AWNIE A AMMAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1104 N MAIN ST, MANTECA, CA 95336-3208
(209) 239-7779
(209) 239-1119
Mailing address
1104 N MAIN ST, MANTECA, CA 95336-3208
(209) 239-7779
(209) 239-1119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42904
CA
Other
Enumeration date
01/03/2006
Last updated
07/08/2007
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