Individual
MOHAMED A ABDULATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 E 8TH ST, ODESSA, TX 79761-4802
(432) 332-8550
Mailing address
1401 E 8TH ST, ODESSA, TX 79761-4802
(432) 332-8550
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
37738
TX
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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