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Individual

DR. ANAS M FATAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
30400 DETROIT RD STE 209, WESTLAKE, OH 44145-1855
(440) 808-9990
(440) 808-9992
Mailing address
30400 DETROIT RD STE 209, WESTLAKE, OH 44145-1855
(440) 808-9990
(440) 808-9992

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DS039476
PA
1223E0200X
Endodontics
Primary
30.026035
OH
1223E0200X
Endodontics
DS039476
PA

Other

Enumeration date
05/16/2012
Last updated
10/11/2021
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