Individual
ARRASH AHMADNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1701 W SUNSHINE SUITE Q, SPRINGFIELD, MO 65807-2261
(417) 501-1048
(417) 501-1661
Mailing address
1701 W SUNSHINE SUITE Q, SPRINGFIELD, MO 65807-2261
(417) 501-1048
(417) 501-1661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2006012741
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400984001
—
MO
Enumeration date
08/05/2006
Last updated
08/26/2015
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