Prosthodontic Associates of Northern Ohio

NPI #1174752521 in North Olmsted, Ohio

Provider Information

NPI Number: 1174752521
Entity Type: Organization
Organization Name: Prosthodontic Associates of Northern Ohio
Primary Specialty: Dentist - Prosthodontics
Enumeration Date: Jul 7, 2009
Last Updated: Jul 7, 2009

Practice Location

Address: 26777 LORAIN RD
Address 2: SUITE 614
City: North Olmsted
State: Ohio
ZIP Code: 44070-3200
Phone: (440) 777-0000

Authorized Official

Name: DR. MOHAMMED ALI KANAWATI, DDS, MBA, MS
Title: OWNER
Phone: (440) 777-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Prosthodontics — Prosthodontics	1223P0700X	Primary

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