Individual
DR. MOHMEDVASIM RASUL MOMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
7557 RAMBLER RD STE 111, DALLAS, TX 75231-2360
(469) 729-5972
Mailing address
2664 OLDE IVY LN, CONYERS, GA 30094-5776
(404) 514-8120
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
33857
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN.00203893
CO
Other
Enumeration date
03/10/2012
Last updated
10/30/2023
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