| NPI | 1013266907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAAD ABUZAKYAH Member Of LLC 216-825-5952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30.023074) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30.022649) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.023152) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |