Individual
DR. MAMDOUH ALRATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3155 PHOENIX CENTER DR, WASHINGTON, MO 63090-5689
(630) 550-7406
Mailing address
736 CARMAN MEADOWS DR, MANCHESTER, MO 63021-7100
(630) 550-7406
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2020037677
MO
122300000X
Dentist
DE60694174
WA
Other
Enumeration date
08/07/2017
Last updated
02/01/2022
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