Individual
MOHAMMAD AL BAHADLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14044 W CAMELBACK RD STE 106, LITCHFIELD PARK, AZ 85340-9416
(623) 698-6070
Mailing address
6928 W TARO LN, GLENDALE, AZ 85308-5776
(623) 698-6070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012148
AZ
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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