Individual
DR. SAMIRAH MOHAMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1230 E HILLSIDE DR, BROKEN ARROW, OK 74012-2301
(918) 505-4200
Mailing address
11100 E 96TH ST S APT 1732, TULSA, OK 74133-5499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
T-7319
OK
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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