| Cleveland Dental Institute Llc | |
|
11201 Shaker Blvd Cleveland OH 44104-3869 | |
| (216) 368-7238 | |
| Not Available |
| Full Name | Cleveland Dental Institute Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11201 Shaker Blvd, Cleveland, Ohio |
| Authorized Official Name and Position | Hussein Elrawy (PRESIDENT) |
| Authorized Official Contact | 4405322243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Dental Institute Llc 11201 Shaker Blvd Cleveland OH 44104-3869 Ph: (216) 368-7238 | Cleveland Dental Institute Llc 11201 Shaker Blvd Cleveland OH 44104-3869 Ph: (216) 368-7238 |
| NPI Number | 1003276106 |
|---|---|
| Provider Enumeration Date | 03/02/2016 |
| Last Update Date | 03/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003276106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30022649 (Ohio) | Primary |
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