Mohamed, Abigail Jackie

Mohamed, Abigail Jackie is an individual health care provider with primary practice located at 2327 Sw 4Th Ave , Ontario OR 97914-1851. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Mohamed, Abigail Jackie can be contacted via phone (541) 889-0052.

Contact Information

Primary practice address
2327 Sw 4Th Ave Ontario OR 97914-1851
Phone: (541) 889-0052
Fax: (541) 889-0990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D10309 Oregon
Dental Providers / General Practice 1223G0001X D10309 Oregon

Profile Details

NPI number 1053797746
LBN Legal business name Mohamed, Abigail Jackie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2015
Last updated Mar 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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