Individual
DR. MOHAMAD EL SAMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4323 HILL STREET, US ARMY DENTAL ACTIVITY, FORT JACKSON, SC 29207-6022
(803) 751-6213
Mailing address
4323 HILL STREET, US ARMY DENTAL ACTIVITY, FORT JACKSON, SC 29207-6022
(803) 751-6213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7113
SC
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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