Individual provider · NPI-1

Ahmad Hikmat Aboudan

Dentist, Orthodontics and Dentofacial Orthopedics · Lake Charles, LA

NPI number1649000423
StatusActive
Last updated in NPPESSep 4, 2024

Details

NPI
1649000423
Entity type
Individual (NPI-1)
Name
Ahmad Hikmat Aboudan
Sex
Male
Sole proprietor
No
Enumeration date
Aug 6, 2024
Certification date
Sep 4, 2024
Last updated
Sep 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics7619LAYes
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics40947TX

Practice location

2706 Ryan St
Lake Charles, LA 70601-7328

Phone 337-944-0300

Mailing address

4000 Dunwoody Park Apt 2310
Atlanta, GA 30338-7957

Phone 312-890-8004

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