| NPI | 1619405578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHIM ABDUL President 216-256-7512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2025-02-12 |