Organization
ABOVE AND BEYOND DENTAL , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAZAN F KARADSHEH (PARTNER)
(440) 454-5436
Entity
Organization
Contact information
Practice address
14401 SNOW RD STE 103, CLEVELAND, OH 44142-2583
(216) 676-4050
Mailing address
14401 SNOW RD STE 103, CLEVELAND, OH 44142-2583
(440) 454-5436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30.024024
OHIO STATE DENTAL BOARD
OH
01
—
30.026274
OHIO STATE DENTAL BOARD
OH
Enumeration date
03/27/2023
Last updated
03/27/2023
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