Individual
MAHMOUD MONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7134 W HIGGINS AVE, CHICAGO, IL 60656-1974
(773) 736-5151
Mailing address
8414 SW 73RD PL, GAINESVILLE, FL 32608-8471
(904) 738-1049
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.035017
IL
122300000X
Dentist
DN24642
FL
1223E0200X
Endodontics
Primary
021.003327
IL
1223E0200X
Endodontics
DN24642
FL
Other
Enumeration date
12/21/2019
Last updated
09/09/2024
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