Individual
SUNNA IMTIAZ AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7365 W 10TH ST, INDIANAPOLIS, IN 46214-2515
(855) 720-2470
Mailing address
307 N PENNSYLVANIA ST APT 618, INDIANAPOLIS, IN 46204-2305
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12014644A
IN
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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