Organization
DENTAL AESTHETIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDULLAH AHMAD DMD (OWNER/DENTIST)
(914) 621-6878
Entity
Organization
Contact information
Practice address
10220 W BELL RD STE 104, SUN CITY, AZ 85351-1179
(623) 300-5432
Mailing address
4950 W TONTO RD, GLENDALE, AZ 85308-9222
(914) 621-6878
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891346003
NPI
AZ
Enumeration date
02/12/2022
Last updated
02/12/2022
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