Individual
MR. MOHAMMAD MOTASIM BILLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
302 BROADWAY, BROOKLYN, NY 11211-7308
(718) 384-0010
(718) 599-4632
Mailing address
302 BROADWAY, BROOKLYN, NY 11211-7308
(718) 384-0010
(718) 599-4132
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
034129
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00374841
—
NY
Enumeration date
11/29/2005
Last updated
11/26/2013
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