Individual
DR. MOHAMMAD BASEM ELKHATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
22 W PADONIA RD, SUITE 232, TIMONIUM, MD 21093-2226
(410) 252-5455
Mailing address
22 W PADONIA RD, SUITE 232, TIMONIUM, MD 21093-2226
(410) 252-5455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15446
MD
1223G0001X
General Practice Dentistry
DS038337
PA
Other
Enumeration date
06/21/2010
Last updated
07/04/2019
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