Provider Demographics
NPI:1508987306
Name:AMER, NEVEIN ELGALAD (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEVEIN
Middle Name:ELGALAD
Last Name:AMER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 W HOLT BLVD STE 402
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91762-3681
Mailing Address - Country:US
Mailing Address - Phone:909-635-0444
Mailing Address - Fax:
Practice Address - Street 1:815 W HOLT BLVD STE 402
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91762-3681
Practice Address - Country:US
Practice Address - Phone:909-635-0444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX230071223G0001X
CA47881122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice