Individual provider · NPI-1

Arrash Ahmadnia, DDS

Dentist · Springfield, MO

NPI number1891704193
StatusActive
Last updated in NPPESAug 26, 2015

Details

NPI
1891704193
Entity type
Individual (NPI-1)
Name
Arrash Ahmadnia
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Aug 5, 2006
Last updated
Aug 26, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist2006012741MOYes

Practice location

1701 W Sunshine Suite Q
Springfield, MO 65807-2261

Phone 417-501-1048 · Fax 417-501-1661

Mailing address

1701 W Sunshine Suite Q
Springfield, MO 65807-2261

Phone 417-501-1048 · Fax 417-501-1661

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