Individual
MOHAMMED BLEIBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 GOODMAN RD E BLDG 1, SOUTHAVEN, MS 38671-8318
(662) 996-2211
(662) 996-4909
Mailing address
8098 WAVERLY XING, GERMANTOWN, TN 38138-7529
(901) 581-4099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10329
TN
122300000X
Dentist
Primary
3882-16
MS
Other
Enumeration date
08/29/2016
Last updated
11/09/2021
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