Provider Demographics
NPI:1346337805
Name:EL-SHERIF, MOSTAFA H (DMD,MSCD,PHD)
Entity type:Individual
Prefix:DR
First Name:MOSTAFA
Middle Name:H
Last Name:EL-SHERIF
Suffix:
Gender:M
Credentials:DMD,MSCD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 PLEASANT ST STE 225
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-7528
Mailing Address - Country:US
Mailing Address - Phone:603-224-5424
Mailing Address - Fax:603-228-4269
Practice Address - Street 1:246 PLEASANT ST STE 225
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-7528
Practice Address - Country:US
Practice Address - Phone:603-224-5424
Practice Address - Fax:603-228-4269
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH26501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice