Individual
DANIAL AHMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1514 COORS BLVD NW, ALBUQUERQUE, NM 87121-1105
(505) 480-2725
Mailing address
6700 MODESTO AVE NE, ALBUQUERQUE, NM 87113-3208
(306) 717-1840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DB-2024-0230
NM
Other
Enumeration date
07/18/2024
Last updated
07/22/2024
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