Individual
ASANA MOHAMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
08745
IA
1223P0221X
Pediatric Dentistry
Primary
DS045407
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932193224
—
IA
Enumeration date
08/09/2010
Last updated
09/05/2025
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