Organization
CLEVELAND DENTAL INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUSSEIN ELRAWY (PRESIDENT)
(440) 532-2243
Entity
Organization
Contact information
Practice address
11201 SHAKER BLVD, CLEVELAND, OH 44104-3869
(216) 368-7238
Mailing address
11201 SHAKER BLVD, CLEVELAND, OH 44104-3869
(216) 368-7238
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30022649
OH
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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