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Individual

DR. SAIED SAMUEL AHDOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
23905 CLINTON KEITH RD, STE. 108, WILDOMAR, CA 92595-7897
(951) 304-9700
(951) 304-9711
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 508-3600
(714) 368-2092

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
37772
CA

Other

Enumeration date
09/14/2006
Last updated
07/08/2007
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