Individual
MOHAMED ADEL AHMED MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3302 GASTON AVE RM 719, DALLAS, TX 75246-2013
(859) 489-8414
Mailing address
3302 GASTON AVE RM 719, DALLAS, TX 75246-2013
(859) 489-8414
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
40828
TX
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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