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1851847917
MOHAMMED BLEIBEL
SOUTHAVEN, MS
NPI
1851847917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MS 3882-16)
Additional Taxonomies
122300000X Dentist
(Licence: TN 10329)
Enumeration Date
2016-08-29
Last Update Date
2021-11-09
Business Address
MOHAMMED BLEIBEL
230 GOODMAN RD E BLDG 1
SOUTHAVEN, MS 38671-8318
Phone number: 662-996-2211
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Mailing Address
MOHAMMED BLEIBEL
8098 WAVERLY XING
GERMANTOWN, TN 38138-7529
Phone number: 901-581-4099
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