Provider Demographics
NPI:1740459304
Name:OAMAR, FELIPE B (DDS)
Entity type:Individual
Prefix:DR
First Name:FELIPE
Middle Name:B
Last Name:OAMAR
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 1:3647 OVERLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-6309
Mailing Address - Country:US
Mailing Address - Phone:310-559-7789
Mailing Address - Fax:310-559-0399
Practice Address - Street 1:3647 OVERLAND AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-6309
Practice Address - Country:US
Practice Address - Phone:310-559-7789
Practice Address - Fax:310-559-0399
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA461191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice