Individual
DR. TASNOVA AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9921 CORKSCREW RD, ESTERO, FL 33928-3210
(352) 275-8133
Mailing address
12850 NEW MARKET ST, FORT MYERS, FL 33913-8472
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN23178
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2017
Last updated
06/04/2020
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