Individual
DR. AHMED TAREQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
48 GALES DR APT 1, NEW PROVIDENCE, NJ 07974-1981
(516) 503-7165
Mailing address
1519 VIA CORONA, LA VERNE, CA 91750-2047
(516) 503-7165
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
108457
CA
Other
Enumeration date
12/26/2022
Last updated
04/23/2025
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