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Individual

AHMAD ESLAMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2323 S 109TH ST, SUITE # 275, WEST ALLIS, WI 53227-1909
(414) 321-7200
(414) 321-3232
Mailing address
2323 S 109TH ST, SUITE # 275, WEST ALLIS, WI 53227-1909
(414) 321-7200
(414) 321-3232

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3218
WI

Other

Enumeration date
08/31/2006
Last updated
06/22/2015
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