Individual
ALI MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
5204 HOSPITAL RD, MARIPOSA, CA 95338-9524
(209) 966-0573
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
(209) 754-6262
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
32136
CA
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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