Individual
IBRAHIM MASOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4071 LEE RD STE 260, CLEVELAND, OH 44128-2173
(727) 877-9669
Mailing address
4071 LEE RD STE 260, CLEVELAND, OH 44128-2173
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
004003
OH
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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