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Organization
YAZAN F KARADSHEH DDS LLC
Active
Organization
YAZAN F KARADSHEH DDS LLC
Active
Other names
Madison Dental
Organization subpart
No
Provider details
NPI number
Authorized official
YAZAN KARADSHEH DDS (OWNER/OPERATOR)
(440) 454-5436
Entity
Organization
Contact information
Practice address
6248 N RIDGE RD, MADISON, OH 44057-2567
(440) 428-1011
Mailing address
6248 N RIDGE RD, MADISON, OH 44057-2567
(440) 428-1011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.024024
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30.024024
DENTAL LICENSE
OH
Enumeration date
11/20/2017
Last updated
03/25/2023
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