Individual
AHMED YOUSIF MOHAMMED AL-BAYATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2610 REYNOLDS RANCH PKWY STE 100, LODI, CA 95240-6890
(209) 390-9379
Mailing address
2610 REYNOLDS RANCH PKWY STE 100, LODI, CA 95240-6890
(209) 390-9379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
108641
CA
Other
Enumeration date
03/06/2023
Last updated
04/03/2023
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