Individual
DR. HASIM MOMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3204 MILL ST NE, COVINGTON, GA 30014-2538
(770) 786-8111
Mailing address
3204 MILL ST NE, COVINGTON, GA 30014-2538
(770) 786-8111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DGD.8645 GD
SC
1223G0001X
General Practice Dentistry
Primary
DN015041
GA
Other
Enumeration date
07/17/2015
Last updated
04/02/2022
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