Individual
DR. HASEENA MOHAMED GHOUSE MOHIDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2169 ROUTE 94, SALISBURY MILLS, NY 12577-5207
(732) 725-2064
Mailing address
69 GEORGIAN CT, MAHWAH, NJ 07430-2534
(732) 725-2064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0556881
NY
1223G0001X
General Practice Dentistry
55688
NY
Other
Enumeration date
08/10/2011
Last updated
09/17/2024
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