Individual
DR. AHMED ABUMUSTAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 S JEFFERSON AVE STE 102, COOKEVILLE, TN 38501-4010
(931) 854-1200
Mailing address
2624 NIAZUMA AVE S APT F, BIRMINGHAM, AL 35205-2557
(510) 634-6868
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12776
TN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
41259
TX
Other
Enumeration date
04/10/2025
Last updated
05/22/2025
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