Individual
SARA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
107 BONNABROOK DR, HERMITAGE, TN 37076-1910
(617) 355-6000
Mailing address
107 BONNABROOK DR, HERMITAGE, TN 37076-1910
(248) 318-1442
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11498
TN
1223P0221X
Pediatric Dentistry
DN1857148
MA
Other
Enumeration date
05/12/2014
Last updated
11/13/2023
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