# M H AHMED DMD LLC

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

## Provider details

- **NPI number:** 1982096798
- **Authorized official:** DR. MOHAMED HASSAN AHMED DMD (BUSINESS OWNER)
- **Authorized official phone:** (804) 270-9989

## Contact information

- **Practice address:** 9840 W BROAD ST STE B, GLEN ALLEN, VA 23060-4199
- **Practice address phone:** (804) 270-9989
- **Practice address fax:** (804) 270-9296
- **Mailing address:** 9840 W BROAD ST STE B, GLEN ALLEN, VA 23060-4199
- **Mailing address phone:** (804) 270-9989
- **Mailing address fax:** (804) 270-9296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 302R00000X | Health Maintenance Organization | 0401411318 | VA | — |

## Other

- **Enumeration date:** 03/03/2015
- **Last updated:** 03/25/2024