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Individual

IMAN ATTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2828 EUCLID AVE APT 207, CLEVELAND, OH 44115-2470
(619) 592-5336
Mailing address
9601 CHESTER AVE # 222, CLEVELAND, OH 44106

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
004130
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00000
OH
Enumeration date
08/15/2019
Last updated
08/15/2019
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