Provider Demographics
NPI:1962263327
Name:AMBESH, HENNA
Entity type:Individual
Prefix:
First Name:HENNA
Middle Name:
Last Name:AMBESH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UCSF DENTAL CENTER
Mailing Address - Street 2:707 PARNASSUS AVENUE
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143
Mailing Address - Country:US
Mailing Address - Phone:415-502-5800
Mailing Address - Fax:415-476-3448
Practice Address - Street 1:UCSF DENTAL CENTER
Practice Address - Street 2:707 PARNASSUS AVENUE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143
Practice Address - Country:US
Practice Address - Phone:415-502-5800
Practice Address - Fax:415-476-3448
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program