Individual
BALQEES TANNOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTIST
Contact information
Practice address
22901 MILLCREEK BLVD STE 200, BEACHWOOD, OH 44122-5701
(216) 727-0234
Mailing address
33290 WAGON WHEEL DR, SOLON, OH 44139-2338
(432) 386-0109
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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