Individual
DR. AYESHA S MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
500 TULLY RD, SAN JOSE, CA 95111-1917
(408) 817-1433
Mailing address
500 TULLY RD, SAN JOSE, CA 95111-1917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901019486
MI
1223G0001X
General Practice Dentistry
Primary
60101
CA
Other
Enumeration date
11/16/2006
Last updated
03/04/2013
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