Individual
NASHID F AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 S 12TH AVE, PHOENIX, AZ 85007-3101
(602) 362-0744
Mailing address
12841 FREEDOM DR, FISHERS, IN 46037-5967
(317) 910-2400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10575
AZ
Other
Enumeration date
04/11/2019
Last updated
05/27/2020
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