Provider Demographics
NPI:1356349500
Name:NASSER, ANWAR Z (DDS)
Entity type:Individual
Prefix:DR
First Name:ANWAR
Middle Name:Z
Last Name:NASSER
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 1:6326B MISSION BLVD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92509-4123
Mailing Address - Country:US
Mailing Address - Phone:951-367-1666
Mailing Address - Fax:951-367-1667
Practice Address - Street 1:6236B MISSION BLVD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92509-4257
Practice Address - Country:US
Practice Address - Phone:951-367-1666
Practice Address - Fax:951-367-1667
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45935122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist