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DR. MOHAMED IBRAHIM ABDELHAMED DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1497817647

Individual Registrant:
DR. MOHAMED IBRAHIM ABDELHAMED DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
320 S CHEROKEE LN  LODI, CA 95240-4266 US
Tel: 209-366-7970  Fax: --

Contact information for business:
10270 E TARON DR APT 70  ELK GROVE, CA 95757-8225 US
Tel: 916-613-7989  Fax: --

Registration Information:
NPI: 1497817647
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA51888

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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