Individual
IMRAN MITHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9601 CHESTER AVE, CLEVELAND, OH 44106-1666
(216) 368-3200
Mailing address
30 SEVERANCE CIR APT 224, CLEVELAND HEIGHTS, OH 44118-1525
(216) 334-6054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
RES.004417
OH
Other
Enumeration date
07/11/2021
Last updated
07/19/2021
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