Provider Demographics
NPI:1083086987
Name:ZEINA WAKED ROOKS DDS INC
Entity Type:Organization
Organization Name:ZEINA WAKED ROOKS DDS INC
Other - Org Name:WAKED DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ZEINA
Authorized Official - Middle Name:W
Authorized Official - Last Name:ROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:216-832-5825
Mailing Address - Street 1:13125 PROSPECT RD
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-3849
Mailing Address - Country:US
Mailing Address - Phone:440-572-8787
Mailing Address - Fax:440-572-9293
Practice Address - Street 1:13125 PROSPECT RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149-3849
Practice Address - Country:US
Practice Address - Phone:440-572-8787
Practice Address - Fax:440-572-9293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH21172261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental