| NPI | 1356278121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANS AHMAD Owner 346-257-7589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2026-05-06 |
| Last Update Date | 2026-05-06 |