Individual
MOHAMED SAMY MOUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1710 W JOE HARVEY BLVD STE B, HOBBS, NM 88240-0821
(575) 738-0335
Mailing address
2050 E ALGONQUIN RD STE 610, SCHAUMBURG, IL 60173-4166
(888) 988-4066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN24964
FL
1223G0001X
General Practice Dentistry
Primary
DD5353
NM
Other
Enumeration date
06/19/2020
Last updated
10/09/2020
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