Individual
DR. ALI EBRAHIM MOHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2200 ARCH ST STE 103, PHILADELPHIA, PA 19103-1353
(215) 515-2881
(267) 715-5566
Mailing address
2200 ARCH ST STE 102, PHILADELPHIA, PA 19103-1353
(215) 515-2881
(267) 715-5566
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
10037
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22DI02723800
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS038201
PA
Other
Enumeration date
08/11/2008
Last updated
09/24/2025
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