MOHAMMED MANSOORUL IMAM

ELMHURST, NY
NPI1598754947
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  049149)
Enumeration Date2005-10-18
Last Update Date2010-11-12
Business Address
Dr. MOHAMMED MANSOORUL IMAM DDS
5611 94TH ST SUITE # LN
ELMHURST, NY 11373-5080
Phone number: 718-271-4424
Mailing Address
Dr. MOHAMMED MANSOORUL IMAM DDS
5611 94TH ST SUITE # LN
ELMHURST, NY 11373-5080
Phone number: 718-271-4424
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