Provider Demographics
NPI:1518118520
Name:AHMED ELSAYED DENTAL CORPORATION
Entity Type:Organization
Organization Name:AHMED ELSAYED DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSAYED
Authorized Official - Suffix:SR
Authorized Official - Credentials:DDS
Authorized Official - Phone:559-661-4113
Mailing Address - Street 1:620 W YOSEMITE AVE
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-4523
Mailing Address - Country:US
Mailing Address - Phone:559-661-4113
Mailing Address - Fax:559-661-4111
Practice Address - Street 1:620 W YOSEMITE AVE
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-4523
Practice Address - Country:US
Practice Address - Phone:559-661-4113
Practice Address - Fax:559-661-4111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA506451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty