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Individual

MOHAMMED AL AZZAWI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
131 ROUTE 101A UNIT 1, AMHERST, NH 03031-2215
(603) 595-5400
Mailing address
131 ROUTE 101A UNIT 1, AMHERST, NH 03031-2215
(603) 595-5400

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
05158
NH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/10/2023
Last updated
10/10/2024
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