| Cleveland Dental Institute Llc | |
|
4071 Lee Rd Ste 200 Cleveland OH 44128-2100 | |
| (216) 727-0234 | |
| (216) 727-1164 |
| Full Name | Cleveland Dental Institute Llc |
|---|---|
| Speciality | Dentist |
| Location | 4071 Lee Rd Ste 200, Cleveland, Ohio |
| Authorized Official Name and Position | Hussein F. Elrawy (OWNER) |
| Authorized Official Contact | 2167270234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Dental Institute Llc 4071 Lee Rd Ste 200 Cleveland OH 44128-2100 Ph: (216) 727-0234 | Cleveland Dental Institute Llc 4071 Lee Rd Ste 200 Cleveland OH 44128-2100 Ph: (216) 727-0234 |
| NPI Number | 1982118709 |
|---|---|
| Provider Enumeration Date | 12/01/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982118709 | NPI | - | NPPES |
| 230930922 | Medicaid | OH |
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