Individual
AMER AZZAM SHATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.D.S
Contact information
Practice address
2124 CORNELL ROAD, CASE SCHOOL OF DENTAL MEDICINE, PERIODONTICS DEPARTMENT, CLEVELAND, OH 44106
(216) 368-6757
(216) 368-3204
Mailing address
2124 CORNELL ROAD, CASE SCHOOL OF DENTAL MEDICINE, PERIODONTICS DEPARTMENT, CLEVELAND, OH 44106
(216) 368-6757
(216) 368-3204
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RES.3524
OH
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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