Individual
SHOKRI A WAHIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
29099 HEALTH CAMPUS DR, SUITE 220, WESTLAKE, OH 44145-5200
(440) 892-7773
Mailing address
29099 HEALTH CAMPUS DR, SUITE 220, WESTLAKE, OH 44145-5200
(440) 892-7773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19772
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0935902
—
OH
Enumeration date
12/17/2007
Last updated
12/17/2007
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