Provider Demographics
NPI:1013315514
Name:FERRARI, CLAIRE (DDS, MSD)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:FERRARI
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 SAN ANTONIO AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-1620
Mailing Address - Country:US
Mailing Address - Phone:510-338-6000
Mailing Address - Fax:
Practice Address - Street 1:291 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:CA
Practice Address - Zip Code:94707-1401
Practice Address - Country:US
Practice Address - Phone:510-338-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-15
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA448751223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics