Individual
EMAD N MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DBS
Contact information
Practice address
3375 S AIRPORT RD W, TRAVERSE CITY, MI 49684-7929
(231) 714-4380
Mailing address
3375 S AIRPORT RD W, TRAVERSE CITY, MI 49684-7929
(231) 417-4380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022180
MI
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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