Provider Demographics
NPI:1003907684
Name:ELNATOUR, AREF (DDS)
Entity Type:Individual
Prefix:DR
First Name:AREF
Middle Name:
Last Name:ELNATOUR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3585 BALBOA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-2601
Mailing Address - Country:US
Mailing Address - Phone:415-221-8100
Mailing Address - Fax:415-221-8133
Practice Address - Street 1:3585 BALBOA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-2601
Practice Address - Country:US
Practice Address - Phone:415-221-8100
Practice Address - Fax:415-221-8133
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38519122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist