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Individual

DR. AMANDA AHMAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
105 ELMORA AVE, ELIZABETH, NJ 07202-1614
(908) 354-1490
Mailing address
200 GREENE ST APT 4603, JERSEY CITY, NJ 07311-1458
(347) 244-0684

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02745100
NJ

Other

Enumeration date
01/27/2019
Last updated
01/27/2019
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