Provider Demographics
NPI:1104600782
Name:ASHFAQ, ADINA (DDS)
Entity type:Individual
Prefix:
First Name:ADINA
Middle Name:
Last Name:ASHFAQ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 BRYANT DR UNIT 1601
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-3605
Mailing Address - Country:US
Mailing Address - Phone:551-239-0066
Mailing Address - Fax:
Practice Address - Street 1:1620 BRYANT DR UNIT 1601
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-3605
Practice Address - Country:US
Practice Address - Phone:551-239-0066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program