Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 2901021850 | MI |
NPI | 1003263989 |
---|---|
Provider Name | Dr. Mohammed Almumaiz |
First Address | Plymouth, MI 48170-3660 |
Second Address | Plymouth, MI 48170-3660 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2016 |
Last Update Date | 25/11/2016 |