Provider Demographics
NPI:1487265567
Name:AHMADI & ALVAND DDS PA II
Entity type:Organization
Organization Name:AHMADI & ALVAND DDS PA II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-865-8300
Mailing Address - Street 1:4237 LOUISBURG RD STE 110
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-4348
Mailing Address - Country:US
Mailing Address - Phone:919-865-8300
Mailing Address - Fax:919-865-8301
Practice Address - Street 1:3126 BLUE RIDGE RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-8095
Practice Address - Country:US
Practice Address - Phone:919-865-8300
Practice Address - Fax:919-865-8301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty