Provider Demographics
NPI:1871977744
Name:NASER, AYMAN (DDS)
Entity type:Individual
Prefix:
First Name:AYMAN
Middle Name:
Last Name:NASER
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 1:7855 FAY AVE STE 260
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-4266
Mailing Address - Country:US
Mailing Address - Phone:858-551-2400
Mailing Address - Fax:
Practice Address - Street 1:7855 FAY AVE STE 260
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-4266
Practice Address - Country:US
Practice Address - Phone:858-551-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-10
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT11435122300000X
CA102509122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist