Provider Demographics
NPI:1386882827
Name:ABHARI, NADERE (DDS)
Entity type:Individual
Prefix:DR
First Name:NADERE
Middle Name:
Last Name:ABHARI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:NADERE
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1183 EAST MAIN ST.
Mailing Address - Street 2:#G
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-7165
Mailing Address - Country:US
Mailing Address - Phone:619-441-2566
Mailing Address - Fax:619-441-2554
Practice Address - Street 1:1183 E. MAIN ST.
Practice Address - Street 2:BRIGHT SMILE DENTAL CARE
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-7165
Practice Address - Country:US
Practice Address - Phone:619-441-2566
Practice Address - Fax:619-441-2554
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40793122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist