Individual
DR. AHMAD AHMADIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11814 JOLLYVILLE RD, A, AUSTIN, TX 78759-2312
(512) 257-1945
(512) 257-8870
Mailing address
11814 JOLLYVILLE RD, A, AUSTIN, TX 78759-2312
(512) 257-1945
(512) 257-8870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16469
TX
Other
Enumeration date
05/21/2009
Last updated
02/09/2012
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