Provider Demographics
NPI:1326230632
Name:ELSEED, MOHAMMED ABDELMONIEM (BDS, DMD, MS)
Entity Type:Individual
Prefix:MR
First Name:MOHAMMED
Middle Name:ABDELMONIEM
Last Name:ELSEED
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Gender:M
Credentials:BDS, DMD, MS
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Mailing Address - Street 1:2979 W. ELLIOT ROAD
Mailing Address - Street 2:SUITE #4
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224
Mailing Address - Country:US
Mailing Address - Phone:480-775-1300
Mailing Address - Fax:480-775-1304
Practice Address - Street 1:702 E BELL RD
Practice Address - Street 2:SUITE #111
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-6639
Practice Address - Country:US
Practice Address - Phone:602-404-3800
Practice Address - Fax:602-404-3757
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2014-11-07
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Provider Licenses
StateLicense IDTaxonomies
AZ63421223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ384054Medicaid