Healthcare Provider Details

I. General information

NPI: 1447104088
Provider Name (Legal Business Name): AMBREEN FARID AHMED DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 GEMSTONE DR
SAN MARCOS CA
92078-1408
US

IV. Provider business mailing address

624 GEMSTONE DR
SAN MARCOS CA
92078-1408
US

V. Phone/Fax

Practice location:
  • Phone: 949-981-8039
  • Fax:
Mailing address:
  • Phone: 949-981-8039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. AMBREEN FARID AHMED
Title or Position: OWNER
Credential: DDS
Phone: 949-981-8039