Individual
MOMIA JAVED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H
Contact information
Practice address
5261 ELKHORN BLVD, SACRAMENTO, CA 95842-2506
(916) 576-1765
Mailing address
5261 ELKHORN BLVD, SACRAMENTO, CA 95828
(917) 947-6662
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
30411
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639233406
GMC
CA
Enumeration date
01/31/2017
Last updated
01/31/2017
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