Individual
AHSAN AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.M.S.
Contact information
Practice address
32 SAINT GERMAIN PL, ST CHARLES, IL 60175-4606
(630) 587-4470
(630) 513-1905
Mailing address
32 SAINT GERMAIN PL, ST CHARLES, IL 60175-4606
(630) 587-4470
(630) 513-1905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025114
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005317
—
IL
Enumeration date
10/31/2005
Last updated
05/24/2011
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