MOHAMEDTAREK A OMRAN

ALTON, IL
NPI1801142328
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019028913)
Enumeration Date2012-08-02
Last Update Date2012-08-02
Business Address
-- MOHAMEDTAREK A OMRAN BDS
2800 COLLEGE AVE
ALTON, IL 62002-4742
Phone number: 618-474-7000
Mailing Address
-- MOHAMEDTAREK A OMRAN BDS
2615 SPYGLASS CT APT B
EDWARDSVILLE, IL 62025-3672
Phone number: 314-546-5628
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