Individual
MOHAMED ALAOUI MDAGHRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2017 N 2ND ST, PHILADELPHIA, PA 19122
(215) 609-0305
Mailing address
2017 N 2ND ST FL 1, PHILADELPHIA, PA 19122-1601
(215) 609-0305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MPA205109
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117746508001
UNITED CONCORDIA
FL
Enumeration date
11/23/2011
Last updated
11/23/2011
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