Individual
AMEN MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1407 N WRIGHT RD, JANESVILLE, WI 53546-1314
(608) 755-1625
Mailing address
1148 W 37TH PL, LOS ANGELES, CA 90007-4217
(213) 597-8171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001606-15
WI
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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