MEDICARE: NESTOR KARAS DDS MD INC

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	261QS0112X	Oral and Maxillofacial Surgery Clinic/Center	35742	CA

General Provider Information

NPI Number	:	1942232541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NESTOR KARAS DDS MD INC

Provider Business Mailing Address
First Line	:	1800 SAN MIGUEL DR
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94596-8606
Country	:	US
Telephone Number	:	925-933-6190
Fax Number	:	925-945-7320

Provider Business Practice Location Address
First Line	:	1800 SAN MIGUEL DR
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94596-8606
Country	:	US
Telephone Number	:	925-933-6190
Fax Number	:	925-945-7320

Authorized Official
Title or Position	:	CEO
Name	:	DR. NESTOR DENIS KARAS
Credential	:	DDS, MD
Telephone Number	:	925-933-6190

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	02/15/2012

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