# OHIO DENTAL CARE FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588419303
- **Authorized official:** RAMI MOUDED DDS (MANAGER)
- **Authorized official phone:** (440) 454-4530

## Contact information

- **Practice address:** 257 CROCKER PARK BLVD APT 208, WESTLAKE, OH 44145-8107
- **Practice address phone:** (440) 454-4530
- **Mailing address:** 257 CROCKER PARK BLVD APT 208, WESTLAKE, OH 44145-8107
- **Mailing address phone:** (440) 454-4530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/23/2024
- **Last updated:** 04/24/2024