| NPI | 1710608450 |
|---|---|
| Former Name | MOHAMMED ABDULKAREEM FATHI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 39008) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-11-08 |