Provider Demographics
NPI:1700134590
Name:RESHMA NAZIR DDS INC
Entity Type:Organization
Organization Name:RESHMA NAZIR DDS INC
Other - Org Name:SMILES N BRACES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RESHMA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZIR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, FFDRCSI
Authorized Official - Phone:924-553-7904
Mailing Address - Street 1:3380 BLACKHAWK PLAZA CIR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94506-4909
Mailing Address - Country:US
Mailing Address - Phone:925-553-7904
Mailing Address - Fax:925-886-8059
Practice Address - Street 1:3380 BLACKHAWK PLAZA CIR
Practice Address - Street 2:SUITE 210
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94506-4909
Practice Address - Country:US
Practice Address - Phone:925-553-7904
Practice Address - Fax:925-886-8059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-27
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA497821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty