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Individual

DR. AHMED R. MEGALLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
645 W OLIVE AVE, SUITE # 115, MERCED, CA 95348-2433
(209) 722-9411
(209) 722-7437
Mailing address
645 W OLIVE AVE, SUITE # 115, MERCED, CA 95348-2433
(209) 722-9411
(209) 722-7437

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52757
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1686641
UNITED CONCORDIA PROVIDER
CA
05
G94075-01
CA
01
G98644-01
HEALTHY FAMILIES PROVIDER
CA
Enumeration date
05/24/2007
Last updated
07/09/2007
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