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General NPI Number Information
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NPI Number | 1245891829
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Entity Type | Organization
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Legal Business Name | DEAN N. AHMAD DDS INC.
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Dates
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Enumeration Date | 06/25/2019
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Last Update Date | 06/25/2019
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Provider Practice Location Address
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Address Line | 580 N SUNRISE AVE STE 190
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City | ROSEVILLE
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State | CA
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Zip | 95661-3035
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Country | US
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Telephone | 916-772-0112
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Fax | 916-772-0133
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Provider Business Mailing Address
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Address Line | 580 N SUNRISE AVE STE 190
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City | ROSEVILLE
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State | CA
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Zip | 95661-3035
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Country | US
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Telephone | 916-772-0112
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Fax | 916-772-0133
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MS. COMEL REHMAN AHMAD
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Credential |
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Telephone | 916-705-5754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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