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Mohammed Al Hadithi

Dentist in Ocala, FL. Individual provider (NPI-1).

NPI number1992196828
StatusActive
Last updated in NPPESSep 23, 2016

Details

NPI
1992196828
Entity type
Individual (NPI-1)
Name
Mohammed Al Hadithi
Sex
Male
Sole proprietor
No
Enumeration date
Feb 13, 2015
Last updated
Sep 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDN21167FLYes
390200000X Student in an Organized Health Care Education/Training Program––
122300000X Dentist0401415133VA

Practice location

1110 Se 18th Pl
Building 200
Ocala, FL 34471-5422

Phone 352-351-3891

Mailing address

1105 Fort Clarke Blvd
Apt # 1608
Gainesville, FL 32606-7140

Phone 786-451-6771

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