# AHDOOT DENTISTRY, INC.

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

## Provider details

- **NPI number:** 1528504222
- **Authorized official:** DR. EDMOND REUBEN AHDOOT DDS (PRESIDENT)
- **Authorized official phone:** (818) 883-2173

## Contact information

- **Practice address:** 6342 FALLBROOK AVE STE 202, WOODLAND HILLS, CA 91367-1613
- **Practice address phone:** (818) 883-2173
- **Mailing address:** 6342 FALLBROOK AVE STE 202, WOODLAND HILLS, CA 91367-1613
- **Mailing address phone:** (818) 883-2173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 61163 | CA | Yes |

## Other

- **Enumeration date:** 01/18/2017
- **Last updated:** 01/18/2017