Provider Demographics
NPI:1851469134
Name:NAKHLA, ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:NAKHLA
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 1:7878 N WOODROW AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0298
Mailing Address - Country:US
Mailing Address - Phone:559-279-0566
Mailing Address - Fax:
Practice Address - Street 1:4195 E SHIELDS AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-7025
Practice Address - Country:US
Practice Address - Phone:559-243-8966
Practice Address - Fax:559-243-8968
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA468971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice