Individual
DR. MARYAM SULTANA AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
3844 WOODPATH TRL, WESTLAKE, OH 44145-5703
(440) 281-2960
Mailing address
800 S WELLS ST, #1214, CHICAGO, IL 60607-4529
(440) 281-2960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.029118
IL
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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