MOHAMED OWAIS SULTAN

BLOOMINGTON, IN
NPI1336620160
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12013044A)
Enumeration Date2018-08-29
Last Update Date2018-08-29
Business Address
Dr. MOHAMED OWAIS SULTAN
857 S AUTO MALL RD STE 4
BLOOMINGTON, IN 47401-5488
Phone number: 812-339-4400
Mailing Address
Dr. MOHAMED OWAIS SULTAN
857 S AUTO MALL RD STE 4
BLOOMINGTON, IN 47401-5488
Phone number: 812-339-4400