Individual
DR. SHIRWAC MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2058 STATE ROUTE 256, REYNOLDSBURG, OH 43068-3261
(380) 224-6387
(614) 504-0409
Mailing address
2058 STATE ROUTE 256, REYNOLDSBURG, OH 43068-3261
(380) 224-6387
(614) 504-0409
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN4292
ME
1223G0001X
General Practice Dentistry
Primary
30.025560
OH
Other
Enumeration date
07/09/2013
Last updated
10/31/2022
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