Provider Demographics
NPI:1275952079
Name:WALID,THABET, AND PARTNERS
Entity Type:Organization
Organization Name:WALID,THABET, AND PARTNERS
Other - Org Name:ANGEL DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YAZAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HADDADEEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-773-7100
Mailing Address - Street 1:3370 W 117TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-3605
Mailing Address - Country:US
Mailing Address - Phone:330-773-7100
Mailing Address - Fax:
Practice Address - Street 1:3370 W 117TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-3605
Practice Address - Country:US
Practice Address - Phone:330-773-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-09
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty