Organization
PREMIER FAMILY DENTAL - WESTLAKE, KOUSSA, DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADEEM KOUSSA DDS (PRESIDENT)
(440) 835-5388
Entity
Organization
Contact information
Practice address
24803 DETROIT RD, SUITE A, WESTLAKE, OH 44145-2553
(440) 835-5388
(440) 835-2101
Mailing address
24803 DETROIT RD, SUITE A, WESTLAKE, OH 44145-2553
(440) 835-5388
(440) 835-2101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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