Individual
DR. AHMED GHONEIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, MSD, PHD
Contact information
Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 278-1653
Mailing address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 278-1653
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
LDF140005
IN
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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