Organization
ICARE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMI MOUDED DDS/MPH (MANAGER)
(440) 454-4530
Entity
Organization
Contact information
Practice address
14865 DETROIT AVE, LAKEWOOD, OH 44107-3909
(216) 772-2310
Mailing address
31088 BELLERIVE CT, WESTLAKE, OH 44145-1893
(440) 454-4530
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
05/30/2024
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