Individual
MUDDASIR MOHAMMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5901 NW 63RD TER APT 323, KANSAS CITY, MO 64151-3455
(419) 819-2582
Mailing address
5901 NW 63RD TER APT 323, KANSAS CITY, MO 64151-3455
(419) 819-2582
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2000020656
MO
Other
Enumeration date
06/16/2020
Last updated
06/30/2023
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