Organization
ELEPHANT GROUP SOLUTIONS INC
Active
Other names
Jazzi Cosmetic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI MOHAMMAD DDS (SURGEON)
(917) 330-0939
Entity
Organization
Contact information
Practice address
1528 WALNUT ST STE 200, PHILADELPHIA, PA 19102-3602
(917) 330-0939
Mailing address
1528 WALNUT ST STE 200, PHILADELPHIA, PA 19102-3602
(917) 330-0939
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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