Individual
DR. FATIMA MAHMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
110 MONTAUK HWY, MORICHES, NY 11955-1407
(631) 878-4488
Mailing address
110 MONTAUK HWY, MORICHES, NY 11955-1407
(631) 878-4488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062872
NY
1223G0001X
General Practice Dentistry
36270
TX
1223G0001X
General Practice Dentistry
DN016123
GA
Other
Enumeration date
07/11/2020
Last updated
11/01/2023
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