Individual
DR. MOHAMMED AHMED MAHDI SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 S BLOOMINGDALE RD STE 9, BLOOMINGDALE, IL 60108-1216
(630) 924-0800
Mailing address
125 S BLOOMINGDALE RD STE 9, BLOOMINGDALE, IL 60108-1216
(203) 969-4248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019032435
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019032435
IL
Other
Enumeration date
07/18/2019
Last updated
03/22/2021
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