Individual
WENXUAN SHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9601 CHESTER AVE, CLEVELAND, OH 44106-1666
(216) 368-3200
Mailing address
9601 CHESTER AVE, CLEVELAND, OH 44106-1666
(216) 368-3200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
004892
OH
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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