Provider Demographics
NPI:1427268358
Name:NAZIR, RESHMA B (DDS FFDRCSI)
Entity type:Individual
Prefix:DR
First Name:RESHMA
Middle Name:B
Last Name:NAZIR
Suffix:
Gender:F
Credentials:DDS FFDRCSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3380 BLACKHAWK PLAZA CIR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94506-4909
Mailing Address - Country:US
Mailing Address - Phone:925-553-7904
Mailing Address - Fax:
Practice Address - Street 1:3380 BLACKHAWK PLAZA CIR
Practice Address - Street 2:SUITE 210
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94506-4909
Practice Address - Country:US
Practice Address - Phone:925-553-7904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49782122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist