Individual
EHSAN ASADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4071 LEE RD STE 200, CLEVELAND, OH 44128-2100
(949) 205-0234
Mailing address
7575 TYLER BLVD STE C47, MENTOR, OH 44060-4894
(949) 205-8904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
004094
OH
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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