Individual
BISMA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-9800
Mailing address
40 WATERSIDE PLZ APT 12D, NEW YORK, NY 10010-2636
(929) 242-4274
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
PENDING
TX
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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