Khavis LLC

NPI #1861102329 in Lyndhurst, Ohio

Provider Information

NPI Number
1861102329
Entity Type
Organization
Organization Name
Khavis LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 24, 2022
Last Updated
Nov 24, 2022

Practice Location

Address
5596 MAYFIELD RD
State
Ohio
ZIP Code
44124-2921
Phone
(440) 442-8220

Authorized Official

Name
RAFAEL KHAVIS, DDS
Title
STATUTORY AGENT/DENTIST
Phone
(917) 822-4185

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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