| NPI | 1871223792 |
|---|---|
| Former Name | MOHD MOEEDUDDIN AHMED |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VT 019.0134053) |
| Additional Taxonomies | 1223X2210X Dentist, Orofacial Pain (Licence: VT 019.0134053) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-08-16 |