# AHMADI DENTAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114657400
- **Authorized official:** DR. KERESHMEH AHMADI DMD (OWNER/ DENTIST)
- **Authorized official phone:** (619) 365-0929

## Contact information

- **Practice address:** 3330 3RD AVE STE 200, SAN DIEGO, CA 92103-5639
- **Practice address phone:** (619) 816-2128
- **Mailing address:** 3330 3RD AVE STE 200, SAN DIEGO, CA 92103-5639
- **Mailing address phone:** (619) 285-0950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2022
- **Last updated:** 09/15/2022