Individual
MOHSEN SOBHI EBRAHIM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6345
(800) 325-3982
(877) 685-9866
Mailing address
3739 EXUMA WAY, NAPLES, FL 34119-1620
(239) 591-3645
(239) 591-3645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 15815
FL
Other
Enumeration date
01/27/2006
Last updated
07/08/2007
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