Individual
HANY AWAD IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4071 LEE RD STE 260, CLEVELAND, OH 44128-2173
(440) 520-0603
Mailing address
4071 LEE RD STE 260, CLEVELAND, OH 44128-2173
(440) 520-0603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
004328
OH
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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