Provider Demographics
NPI:1710472204
Name:MOHD NAJIB, SONIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:
Last Name:MOHD NAJIB
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 COLUMBIA DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-2626
Mailing Address - Country:US
Mailing Address - Phone:575-302-0427
Mailing Address - Fax:
Practice Address - Street 1:1022 9TH ST
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6470
Practice Address - Country:US
Practice Address - Phone:575-437-7473
Practice Address - Fax:575-437-0079
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD5051122300000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program