Individual
SARA FADLALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
17500 MADISON AVE, LAKEWOOD, OH 44107-3653
(216) 302-2401
Mailing address
4845 W STREETSBORO RD, RICHFIELD, OH 44286-9560
(330) 860-4539
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026576
OH
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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