| NPI | 1770737488 |
|---|---|
| Former Name | ABDELNASER MUSTAFA MOHAMED |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: GA DN014893) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901020810) |
| 122300000X Dentist (Licence: TX 27542) | |
| 122300000X Dentist (Licence: MI 2109642) | |
| 1223P0700X Dentist Prosthodontics (Licence: GA RESIDENT AT MCG) | |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2024-09-04 |