Individual
AHMAD MERSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
652 E REGENT ST, INGLEWOOD, CA 90301-1415
(310) 330-0604
(310) 330-0590
Mailing address
2008 GRAHAM AVE, REDONDO BEACH, CA 90278-1923
(310) 658-1636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105863
CA
Other
Enumeration date
12/10/2020
Last updated
01/04/2021
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