| NPI | 1982118709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSEIN F. ELRAWY Owner 216-727-0234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30022649) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 122300000X Dentist (Licence: OH 30023525) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 1223E0200X Dentist, Endodontics (Licence: OH 30024296) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30024868) | |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2018-06-16 |