Organization
PROSTHODONTIC ASSOCIATES OF NORTHERN OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED ALI KANAWATI DDS, MBA, MS (OWNER)
(440) 777-0000
Entity
Organization
Contact information
Practice address
26777 LORAIN RD, SUITE 614, NORTH OLMSTED, OH 44070-3200
(440) 777-0000
(440) 734-1433
Mailing address
26777 LORAIN RD, SUITE 614, NORTH OLMSTED, OH 44070-3200
(440) 777-0000
(440) 734-1433
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
30022374
OH
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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