Provider Demographics
NPI:1063895720
Name:ROWTHER, NASEEM FATIMA (DMD)
Entity type:Individual
Prefix:DR
First Name:NASEEM
Middle Name:FATIMA
Last Name:ROWTHER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1837 ALLEGHENY AVE
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-2607
Mailing Address - Country:US
Mailing Address - Phone:714-914-3032
Mailing Address - Fax:
Practice Address - Street 1:10797 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3858
Practice Address - Country:US
Practice Address - Phone:909-581-0888
Practice Address - Fax:909-581-1977
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64621122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist