Individual
SHAYAN AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
N53W21824 TAYLORS WOODS DR, MENOMONEE FALLS, WI 53051-6258
(414) 377-2563
Mailing address
N53W21824 TAYLORS WOODS DR, MENOMONEE FALLS, WI 53051-6258
(414) 377-2563
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416537
VA
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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