Provider Demographics
NPI:1518164383
Name:ABDULRAZZAK, MOUHAMMED MONEER (DDS)
Entity Type:Individual
Prefix:DR
First Name:MOUHAMMED
Middle Name:MONEER
Last Name:ABDULRAZZAK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10229 E CELTIC DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-7254
Mailing Address - Country:US
Mailing Address - Phone:248-388-8978
Mailing Address - Fax:
Practice Address - Street 1:10229 E CELTIC DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-7254
Practice Address - Country:US
Practice Address - Phone:248-388-8978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901019543122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist