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Dr. Mohammed Mansoorul Imam, DDS
General Practice Dentistry in Elmhurst, New York
NPI 1598754947

Mohammed Mansoorul Imam is a General Practice Dentistry based in Elmhurst, NY and is specialized in General Practice. Mohammed Mansoorul Imam practices in Elmhurst, NY and has the professional credentials of DDS. The NPI Number for Mohammed Mansoorul Imam is 1598754947 and holds a License No. 049149 (New York).

The current practice location address for Mohammed Mansoorul Imam is 5611 94Th St, Elmhurst, NY and can be reached out via phone at 718-271-4424 and via fax at 718-271-4799.

Location: 5611 94Th St, Elmhurst, NY, 11373-5080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598754947
Provider Name
Mohammed Mansoorul Imam
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5611 94Th St, Elmhurst, NY, 11373-5080
Phone Number
718-271-4424
Fax Number
718-271-4799
Provider Enumeration Date
10/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02241183 05 NY
institution
Provider Business Practice Location Address Details
Address
5611 94Th St
City
Elmhurst
State
New York
Zip
11373-5080
Phone Number
718-271-4424
Fax Number
718-271-4799
person
Provider Business Mailing Address Details
Address
5611 94Th St
City
Elmhurst
State
New York
Zip
11373-5080
Phone Number
718-271-4424
Fax Number
718-271-4799
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
049149 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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