Omeir Tariq Ansari, DDS

NPI #1891337366 in Lake Mary, Florida

Provider Information

NPI Number: 1891337366
Entity Type: Individual
Name: Omeir Tariq Ansari, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 16, 2019
Last Updated: Oct 16, 2019

Practice Location

Address: 3779 LAKE EMMA RD
City: Lake Mary
State: Florida
ZIP Code: 32746-6156
Phone: (407) 547-1359

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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