| NPI | 1811677826 |
|---|---|
| Former Name | MOHAMD AHMAD ALTAKRITI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.034380) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: IL 021.003266) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |