Provider Demographics
NPI:1982467536
Name:ALJANABI, NORA ADNAN DAWOOD
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:ADNAN DAWOOD
Last Name:ALJANABI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 DELACORTE DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1760
Mailing Address - Country:US
Mailing Address - Phone:913-313-0887
Mailing Address - Fax:
Practice Address - Street 1:9510 HAGEMAN RD STE B
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-3953
Practice Address - Country:US
Practice Address - Phone:661-829-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA109856122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist