Individual
DR. IMRAN AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10833 LE CONTE AVE # CHS20137, LOS ANGELES, CA 90095-3075
(310) 825-5619
Mailing address
7271 FORT KENT CT, RIVERSIDE, CA 92506-6105
(951) 233-8089
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
103956
CA
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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