Individual
AHMAD MOHAMED USSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
236 S VINE ST, PASO ROBLES, CA 93446-3704
(347) 451-5192
Mailing address
1824 ASTORIA BLVD, ASTORIA, NY 11102-3728
(347) 459-5192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
110363
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2023
Last updated
09/09/2024
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