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Individual

AHMED ELBAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BDS

Contact information

Practice address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(319) 259-3777
Mailing address
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233-2186
(319) 259-3777

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
85695-875
WI
1223P0700X
Prosthodontics
Primary
RES-30648
IA

Other

Enumeration date
08/01/2023
Last updated
02/03/2026
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