Individual
MR. MAZEN Y SULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4133 MEXICO ROAD, ST. PETERS, MO 63376
(636) 447-6060
(636) 447-2428
Mailing address
4133 MEXICO ROAD, ST. PETERS, MO 63376
(636) 447-6060
(636) 447-2428
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9620
KY
Other
Enumeration date
03/23/2015
Last updated
12/13/2021
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