Individual
DR. MOHAMMAD WALID OMARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
155 W RIVERSIDE DR, PARKER, AZ 85344-5221
(928) 669-0099
Mailing address
17443 ELKWOOD ST, NORTHRIDGE, CA 91325-4432
(818) 674-9233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010560
AZ
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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