Individual
MAHMOUD MOHAMED ABOULFARAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11201 SHAKER BLVD STE 136, CLEVELAND, OH 44104-3833
(216) 368-7238
Mailing address
11201 SHAKER BLVD STE 136, CLEVELAND, OH 44104-3833
(216) 368-7238
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.026959
NY
1223G0001X
General Practice Dentistry
Primary
30.026959
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4399740
—
OR
Enumeration date
08/12/2022
Last updated
05/29/2026
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