MOHAMED OTHMAN

CLEVELAND, OH
NPI1609214105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OH  30.024057)
Additional Taxonomies122300000X Dentist
(Licence: VA  0401414004)
Enumeration Date2013-06-06
Last Update Date2013-08-01
Business Address
-- MOHAMED OTHMAN
2124 CORNELL RD
CLEVELAND, OH 44106-3804
Phone number: 734-277-2897
Mailing Address
-- MOHAMED OTHMAN
12900 LAKE AVE APT 2007
LAKEWOOD, OH 44107-1577
Phone number: 734-277-2897