Individual
RANY BOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
2124 CORNELL RD, CLEVELAND, OH 44106-3804
(216) 368-3200
Mailing address
2124 CORNELL RD, CLEVELAND, OH 44106-3804
(216) 368-3200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
RES.3643
OH
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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