Individual
NIVIEN MASOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2904 EUCLID AVE, CLEVELAND, OH 44115-2416
(216) 539-3950
Mailing address
31368 BUR OAK DR, WESTLAKE, OH 44145-6869
(708) 996-5844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026746
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2021
Last updated
01/05/2023
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