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General NPI Number Information
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NPI Number | 1467306316
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Entity Type | Organization
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Legal Business Name | MOHAMED HAMMAM, BDS, INC
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 411 N CENTRAL AVE STE 120
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City | GLENDALE
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State | CA
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Zip | 91203-2020
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Country | US
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Telephone | 818-956-7137
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Fax | 818-956-7158
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Provider Business Mailing Address
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Address Line | 411 N CENTRAL AVE STE 120
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City | GLENDALE
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State | CA
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Zip | 91203-2020
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Country | US
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Telephone | 818-956-7137
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Fax | 818-956-7158
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Authorized Official
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Title or Position | PRESIDENT/ DENTIST
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Name | DR. MOHAMED A HAMMAM
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Credential | BDS
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Telephone | 612-227-2101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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