Cleveland Dental Institute LLC
Dentist in Cleveland, OH. Organization (NPI-2).
NPI number1982118709
StatusActive
Last updated in NPPESJun 16, 2018
Details
- NPI
- 1982118709
- Entity type
- Organization (NPI-2)
- Legal business name
- Cleveland Dental Institute LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 1, 2017
- Last updated
- Jun 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 30022649 | OH | Yes |
| 261Q00000X | Clinic/Center | – | – | |
| 122300000X | Dentist | 30023525 | OH | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 1223E0200X | Dentist, Endodontics | 30024296 | OH | |
| 1223P0221X | Dentist, Pediatric Dentistry | 30024868 | OH |
Practice location
4071 Lee Rd Ste 200Cleveland, OH 44128-2100
Phone 216-727-0234 · Fax 216-727-1164
Mailing address
4071 Lee Rd Ste 200Cleveland, OH 44128-2100
Phone 216-727-0234 · Fax 216-727-1164
Authorized official
Hussein F. Elrawy
Owner
2167270234
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