Individual
DR. AHMED MOUSTAFA M M ELHAMADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5542 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1200
(414) 464-1070
Mailing address
PO BOX 343, AMITY, OR 97101-0343
(971) 267-7169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002086-15
WI
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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