Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 38519 | CA |
NPI | 1003907684 |
---|---|
Provider Name | Dr. Aref Elnatour |
First Address | San Francisco, CA 94121-2601 |
Second Address | San Francisco, CA 94121-2601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 26/08/2021 |