| Nader Ahdout D.d.s. Inc | |
|
22116 Ventura Blvd Woodland Hills CA 91364-1648 | |
| (818) 340-3062 | |
| Not Available |
| Full Name | Nader Ahdout D.d.s. Inc |
|---|---|
| Speciality | Dentist |
| Location | 22116 Ventura Blvd, Woodland Hills, California |
| Authorized Official Name and Position | Nader Ahdout (PRESIDENT) |
| Authorized Official Contact | 8183403062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nader Ahdout D.d.s. Inc 22116 Ventura Blvd Woodland Hills CA 91364-1648 Ph: () - | Nader Ahdout D.d.s. Inc 22116 Ventura Blvd Woodland Hills CA 91364-1648 Ph: (818) 340-3062 |
| NPI Number | 1447656707 |
|---|---|
| Provider Enumeration Date | 11/14/2014 |
| Last Update Date | 11/14/2014 |
| Medicare PECOS PAC ID | 7719220177 |
|---|---|
| Medicare Enrollment ID | O20190528002481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447656707 | NPI | - | NPPES |
| 41054-02 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Nader Ahdout |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528282373 PECOS PAC ID: 2062755424 Enrollment ID: I20190529002302 |
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