Individual
FERAS HASAN GHAZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.D.S
Contact information
Practice address
3370 W 117TH ST, CLEVELAND, OH 44111-3605
(216) 688-0900
Mailing address
3370 W 117TH ST, CLEVELAND, OH 44111-3605
(216) 688-0900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.024624
OH
390200000X
Student in an Organized Health Care Education/Training Program
RES.3262
OH
Other
Enumeration date
05/01/2013
Last updated
08/11/2016
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