Individual
DR. MAMOON SALAMAH MOHAMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3138 N NARRAGANSETT AVE, CHICAGO, IL 60634-4919
(773) 745-6410
Mailing address
4305 N OLCOTT AVE, NORRIDGE, IL 60706-1138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.035060
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2024
Last updated
06/26/2024
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