Organization
AHDOOT DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMOND REUBEN AHDOOT DDS (PRESIDENT)
(818) 883-2173
Entity
Organization
Contact information
Practice address
6342 FALLBROOK AVE STE 202, WOODLAND HILLS, CA 91367-1613
(818) 883-2173
Mailing address
6342 FALLBROOK AVE STE 202, WOODLAND HILLS, CA 91367-1613
(818) 883-2173
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61163
CA
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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