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Amar Mahdi Dental INC

Clinic/Center, Dental in Elk Grove, CA. Organization (NPI-2).

NPI number1235802497
StatusActive
Last updated in NPPESJul 25, 2021

Details

NPI
1235802497
Entity type
Organization (NPI-2)
Legal business name
Amar Mahdi Dental INC
Organization subpart
No
Enumeration date
Jul 25, 2021
Certification date
Jul 25, 2021
Last updated
Jul 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Practice location

9141 E Stockton Blvd Ste 230
Elk Grove, CA 95624-9502

Phone 505-615-4998

Mailing address

3025 Beardsley Way
Roseville, CA 95661-2533

Phone 505-615-4998

Authorized official

Amar Mahdi
Dentist
5056154998

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