Organization
M.MOHAMED DENTAL CORP
Active
Other names
fairoakssmile
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOUD MOHAMED DDS (DENTIST)
(916) 536-9410
Entity
Organization
Contact information
Practice address
4826 SAN JUAN AVE, FAIR OAKS, CA 95628-4719
(916) 536-9410
Mailing address
4826 SAN JUAN AVE, FAIR OAKS, CA 95628-4719
(916) 536-9410
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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