Individual
TASMEEM AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4361 WASHINGTON BLVD, SAINT LOUIS, MO 63108-2633
(239) 877-4666
Mailing address
306 GOLD ST, APT 39E, BROOKLYN, NY 11201-3014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2019010188
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2013
Last updated
11/12/2019
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