Organization
AHMED DDS PC
Active
Other names
Ivy Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEENA AHMED DDS (PRESIDENT)
(916) 368-7889
Entity
Organization
Contact information
Practice address
9700 BUSINESS PARK DR, SUITE 400A, SACRAMENTO, CA 95827-1712
(916) 670-0139
Mailing address
184 ORANGE BLOSSOM CIR, FOLSOM, CA 95630-8102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49441
CA
Other
Enumeration date
09/21/2015
Last updated
10/14/2015
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