Individual
DR. ALEXANDER AHMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4171 CRESCENT DR STE 102, SAINT LOUIS, MO 63129-3645
(314) 200-3880
Mailing address
4041 CHOUTEAU AVE APT 456, SAINT LOUIS, MO 63110-1770
(260) 403-8886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2020032725
MO
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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