Organization
WALID THABET & PARTNERS LLC
Active
Other names
Angel Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
WALID THABET (OWNER)
(210) 630-2224
Entity
Organization
Contact information
Practice address
3370 W 117TH ST, CLEVELAND, OH 44111-3605
(216) 688-0900
(216) 688-0937
Mailing address
3370 W 117TH ST, CLEVELAND, OH 44111-3605
(216) 688-0900
(216) 688-0937
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
018817
OH
122300000X
Dentist
022649
OH
122300000X
Dentist
023074
OH
122300000X
Dentist
023405
OH
122300000X
Dentist
Primary
023527
OH
122300000X
Dentist
024296
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058978
—
OH
05
—
0071259
—
OH
05
—
0071286
—
OH
05
—
0105992
—
OH
05
—
2562043
—
OH
05
—
2754818
—
OH
05
—
3157542
—
OH
Enumeration date
03/19/2015
Last updated
03/19/2015
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