Individual
MOSTAFA A MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
735 ATTUCKS LN, HYANNIS, MA 02601-1867
(917) 330-2277
Mailing address
469 JEFFERSON AVE, STATEN ISLAND, NY 10306-5430
(917) 330-2277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL13349
MA
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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