Individual
AASIYA MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1144 E MAIN ST, HEGINS, PA 17938-9091
(570) 682-8143
Mailing address
22 E 5TH ST APT REAR, BLOOMSBURG, PA 17815-2202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.033886
IL
1223G0001X
General Practice Dentistry
Primary
DS043870
PA
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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