Individual
MOHAMMED KHALIL SHAKER AL-BAGHDADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 S 12TH AVE, PHOENIX, AZ 85007-3101
(602) 362-0744
Mailing address
1950 W TIERRA BUENA LN UNIT 1103, PHOENIX, AZ 85023-4519
(520) 308-1280
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011751
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2022
Last updated
09/28/2023
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