MEDICARE: AHMED K SAAD DDS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	58795	CA

General Provider Information

NPI Number	:	1023327970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHMED K SAAD DDS INC.

Provider Business Mailing Address
First Line	:	12009 GARFIELD AVE
Second Line	:
City	:	SOUTH GATE
State	:	CA
Zip	:	90280-7822
Country	:	US
Telephone Number	:	562-630-7777
Fax Number	:	562-630-8059

Provider Business Practice Location Address
First Line	:	12009 GARFIELD AVE
Second Line	:
City	:	SOUTH GATE
State	:	CA
Zip	:	90280-7822
Country	:	US
Telephone Number	:	562-630-7777
Fax Number	:	562-630-8059

Authorized Official
Title or Position	:	C.E.O.
Name	:	DR. AHMED K SAAD
Credential	:	D.D.S.
Telephone Number	:	562-630-7777

Provider Enumeration Date	:	09/27/2010
Last Update Date	:	09/27/2010

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