Provider Demographics
NPI:1851793640
Name:ALZUBAIDI, AHMED (DMD)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:ALZUBAIDI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7085 NOVA DR APT 213
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33317-8107
Mailing Address - Country:US
Mailing Address - Phone:313-333-5523
Mailing Address - Fax:
Practice Address - Street 1:7085 NOVA DR APT 213
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33317-8107
Practice Address - Country:US
Practice Address - Phone:313-333-5523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20691122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist