Individual
DR. MICHAEL DAVID AHDOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2140 VOORHEES TOWN CTR, VOORHEES, NJ 08043-1911
(856) 770-1770
Mailing address
442 KELLINGTON DR, EAST WINDSOR, NJ 08520-5318
(609) 235-6147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02800000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2019
Last updated
05/23/2021
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