Individual
DR. MOHAMED HASSAN AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, DDS, FAGD
Contact information
Practice address
9840 W BROAD ST STE B, GLEN ALLEN, VA 23060-4199
(804) 270-9989
Mailing address
220 13TH ST, HUNTINGTON, WV 25701-1604
(304) 523-0805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3133
WV
1223G0001X
General Practice Dentistry
Primary
0401411318
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9181303
—
VA
Enumeration date
09/20/2006
Last updated
04/04/2024
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