Ayman Ghozlan

General Practice Dentistry · Lodi, CA

Individual Active NPI

NPI number 1740320480

Practice location

1745 W Kettleman Ln
B
Lodi, CA 95242-9287
Phone
(916) 337-1077
Fax
(916) 897-2567

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NPI record

NPI
1740320480
Entity type
Individual (Type 1)
Enumeration date
February 8, 2007
Last updated
October 18, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 46060 CA

Mailing address

10374 Stathos Dr
Elk Grove, CA 95757-1609
Phone
(916) 337-1077
Fax
(916) 897-2567

About Ayman Ghozlan

Ayman Ghozlan is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1745 W Kettleman Ln, B, Lodi, CA 95242-9287. The NPI number 1740320480 was assigned on February 8, 2007 and the record was last updated on October 18, 2010.

Ayman Ghozlan lists a license in the registry: #46060 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ayman Ghozlan?

The NPI number is 1740320480.

What is the phone number of Ayman Ghozlan?

The phone number listed for the practice location is (916) 337-1077.

Where is Ayman Ghozlan located?

1745 W Kettleman Ln, B, Lodi, CA 95242-9287.

What is the taxonomy code for Ayman Ghozlan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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