# OAK HARBOR DENTAL, CASSIM AHMED D.D.S. AND NIVINE DUGHAYLI DDS, LLC

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

## Provider details

- **NPI number:** 1679238729
- **Authorized official:** DR. CASSIM AHMED DDS (OWNER/PROVIDER)
- **Authorized official phone:** (419) 898-6633

## Contact information

- **Practice address:** 11707 W STATE ROUTE 163, OAK HARBOR, OH 43449-9401
- **Practice address phone:** (419) 898-6633
- **Practice address fax:** (419) 898-9909
- **Mailing address:** 11707 W STATE ROUTE 163, OAK HARBOR, OH 43449-9401
- **Mailing address phone:** (419) 898-6633
- **Mailing address fax:** (419) 898-9909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2021
- **Last updated:** 11/03/2021