Provider Demographics
NPI:1225286743
Name:ALOLABI, MOHAMAD RAGHID (DDS, MS,)
Entity Type:Individual
Prefix:DR
First Name:MOHAMAD
Middle Name:RAGHID
Last Name:ALOLABI
Suffix:
Gender:M
Credentials:DDS, MS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:1450 W PLEASANT RUN RD
Mailing Address - Street 2:STE. 114
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-3741
Mailing Address - Country:US
Mailing Address - Phone:972-227-1760
Mailing Address - Fax:972-227-2184
Practice Address - Street 1:1450 W PLEASANT RUN RD
Practice Address - Street 2:STE. 114
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-3741
Practice Address - Country:US
Practice Address - Phone:972-227-1760
Practice Address - Fax:972-227-2184
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX241851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX195668223Medicaid