Organization
AHMED ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAIRAJ AHMED DDS MS (OWNER / ORTHODONTIST)
(718) 684-3131
Entity
Organization
Contact information
Practice address
918 PELHAM PKWY S, 3, BRONX, NY 10462-1144
(718) 684-3131
Mailing address
918 PELHAM PKWY S, 3, BRONX, NY 10462-1144
(718) 684-3131
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
051790
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02646995
—
NY
01
—
051790
LICENSE
NY
Enumeration date
10/01/2012
Last updated
10/01/2012
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