Individual
FAKHRA AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3003 E WASHINGTON AVE, MADISON, WI 53704-4301
(888) 988-4066
(847) 496-4850
Mailing address
2050 E ALGONQUIN RD STE 610, SCHAUMBURG, IL 60173-4166
(888) 988-4066
(847) 496-4850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002102
WI
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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