NPI 1497817647 · live from the CMS NPI Registry
Mohamed Ibrahim Abdelhamed, DDS
Dentist in Lodi, CA. National Provider Identifier 1497817647, active.
NPI record
| NPI | 1497817647 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 320 S Cherokee Ln, Lodi, CA 95240 |
| Practice phone | 209-366-7970 |
| Mailing address | 10270 E Taron Dr Apt 70, Elk Grove, CA 95757 |
| Enumerated | December 14, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 51888 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.