Individual
MUSTAFA KHALLAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11201 SHAKER BLVD STE 136, CLEVELAND, OH 44104-3833
(216) 368-7238
(216) 721-8171
Mailing address
11201 SHAKER BLVD STE 136, CLEVELAND, OH 44104-3833
(216) 368-7238
(216) 721-8171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
RES.003992
OH
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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