Provider Demographics
NPI:1699770966
Name:EL NOKRASHY, KARIM AHMAD SAMY (DDS)
Entity type:Individual
Prefix:DR
First Name:KARIM
Middle Name:AHMAD SAMY
Last Name:EL NOKRASHY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 MARIOLYN WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-1625
Mailing Address - Country:US
Mailing Address - Phone:909-709-7010
Mailing Address - Fax:916-379-8371
Practice Address - Street 1:1503 E MARCH LN
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95210-5622
Practice Address - Country:US
Practice Address - Phone:909-709-7010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA509061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice