Provider Demographics
NPI:1659410199
Name:OKBA, ASHRAF M (DDS)
Entity Type:Individual
Prefix:MR
First Name:ASHRAF
Middle Name:M
Last Name:OKBA
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 1:771 E VISTA WAY
Mailing Address - Street 2:STE 101
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084
Mailing Address - Country:US
Mailing Address - Phone:760-560-0600
Mailing Address - Fax:760-560-0602
Practice Address - Street 1:771 E VISTA WAY
Practice Address - Street 2:STE 101
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084
Practice Address - Country:US
Practice Address - Phone:760-560-0600
Practice Address - Fax:760-560-0602
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45944122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB4594401OtherHEALTHY FAMILIES
CA1509862OtherUNITED CONCORDIA
CA1509862OtherUNITED CONCORDIA