Provider Demographics
NPI:1376736801
Name:SAWERES, NANCY EKRAM
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:EKRAM
Last Name:SAWERES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 MILLBRAE CT
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3650
Mailing Address - Country:US
Mailing Address - Phone:925-323-5648
Mailing Address - Fax:925-776-1148
Practice Address - Street 1:115 MILLBRAE CT
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3650
Practice Address - Country:US
Practice Address - Phone:925-323-5648
Practice Address - Fax:925-776-1148
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56063122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist