MAHAD ALI SANWEYNE

FORT CAMPBELL, KY
NPI1851817530
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: OH  30.025108)
Enumeration Date2017-08-15
Last Update Date2022-07-21
Business Address
MAHAD ALI SANWEYNE
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8751
Mailing Address
MAHAD ALI SANWEYNE
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8751