Individual
SELMA MOHAMMEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1260 MILTON AVE STE 140-150, JANESVILLE, WI 53545
(608) 757-0057
Mailing address
1260 MILTON AVE STE 140-150, JANESVILLE, WI 53545-1889
(608) 757-0057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001871
WI
Other
Enumeration date
07/16/2017
Last updated
07/21/2022
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