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Organization
NADER AHDOUT D.D.S. INC
Active
Organization
NADER AHDOUT D.D.S. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADER AHDOUT D.D.S. (PRESIDENT)
(818) 340-3062
Entity
Organization
Contact information
Practice address
22116 VENTURA BLVD, WOODLAND HILLS, CA 91364-1648
(818) 340-3062
Mailing address
22116 VENTURA BLVD, WOODLAND HILLS, CA 91364-1648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41054-02
—
CA
Enumeration date
11/14/2014
Last updated
11/14/2014
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