Individual
MIRA MOURAD MORCOS ABOELKHEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 LORAIN AVE, CLEVELAND, OH 44113-3707
(216) 778-4725
Mailing address
3701 LORAIN AVE, CLEVELAND, OH 44113-3707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
RES004709
OH
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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