| Organization Name: | M AHMADI DENTAL CORP |
| NPI Number: | 1205005998 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MOHAMMAD AHMADI (PRESIDENT) |
| Mailing Address: | 4203 Gage Ave Bell |
| State: | CA US |
| Postal Code: | 902011212 |
| Phone Number: | 3233120500 |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2008 |
| NPI Last Update Date: | 02/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | D54399 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |