Mohammed Imam, DDS

NPI 1598754947 · on the registry since 2005 · sole proprietor

Practice

Address: 5611 94th St
Suite # Ln
Elmhurst, NY 11373
Phone: (718) 271-4424
Fax: (718) 271-4799
Organisation at this address: Banana Smiles Pediatric Dentistry Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-11-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York