Individual
MOHAMED BAZINA
Active
Individual
MOHAMED BAZINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10067
KY
Other
Enumeration date
05/22/2014
Last updated
10/04/2019
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