Individual
A M SOHAL MAHAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 N GATEWAY DR, MADERA, CA 93637-9600
(559) 363-4160
Mailing address
3661 UTAH LN, CLOVIS, CA 93619-2007
(929) 350-7495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
109775
CA
Other
Enumeration date
12/28/2023
Last updated
07/11/2025
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