# AHMED DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ivy Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619346517
- **Authorized official:** SAMEENA AHMED DDS (PRESIDENT)
- **Authorized official phone:** (916) 368-7889

## Contact information

- **Practice address:** 9700 BUSINESS PARK DR, SUITE 400A, SACRAMENTO, CA 95827-1712
- **Practice address phone:** (916) 670-0139
- **Mailing address:** 184 ORANGE BLOSSOM CIR, FOLSOM, CA 95630-8102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 49441 | CA | Yes |

## Other

- **Enumeration date:** 09/21/2015
- **Last updated:** 10/14/2015