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Contact Information

ALI EHSAN, DDS
13805 PEMBERLEY PASSAGE AVE
BAKERSFIELD, CA93311-8745
 Phone: 949-273-9681
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ALI EHSAN · (Male)

NPI Number 1699813550
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/02/2007
Last updated 07/08/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 52380
  • CA Medicaid D52380
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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