Individual
FATEMEH AHMADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 MACDADE BLVD, DARBY, PA 19023-1814
(312) 274-4524
Mailing address
1532 N 15TH ST APT 1EF, PHILADELPHIA, PA 19121-4365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041204
PA
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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