Khandaqji, Mohammad

Khandaqji, Mohammad is an sole proprietor health care provider with primary practice located at 1530 Broadway , Oakland CA 94612-2002. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Khandaqji, Mohammad can be contacted via phone (510) 251-1011.

Contact Information

Primary practice address
1530 Broadway Oakland CA 94612-2002
Phone: (510) 251-1011
Fax: (510) 251-9264
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 49559 California

Profile Details

NPI number 1598819740
LBN Legal business name Khandaqji, Mohammad
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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