Individual
DR. MOHAMMAD R AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1515 W 45TH AVE, GRIFFITH, IN 46319-3801
(219) 922-9007
Mailing address
304 PINEHURST DR, PALOS HEIGHTS, IL 60463-2908
(708) 590-9424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.034303
IL
1223G0001X
General Practice Dentistry
Primary
12014139A
IN
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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