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Individual

MOHAMED K.H. MOHAJIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
11808 S PULASKI RD, ALSIP, IL 60803-1608
(708) 489-6222
(708) 489-6901
Mailing address
11808 S PULASKI RD, ALSIP, IL 60803-1608
(708) 489-6222
(708) 489-6222

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101164
IL
Enumeration date
03/20/2007
Last updated
07/08/2007
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