MEDICARE: DR. ZAHRA AMMARI DDS, MDSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	42905	CA

General Provider Information

NPI Number	:	1518134600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZAHRA AMMARI DDS, MDSC

Provider Business Mailing Address
First Line	:	1898 ANTHONY CT
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-2301
Country	:	US
Telephone Number	:	510-701-9013
Fax Number	:

Provider Business Practice Location Address
First Line	:	1898 ANTHONY CT
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-2301
Country	:	US
Telephone Number	:	510-701-9013
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	05/08/2008

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