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 |