Provider Demographics
NPI:1508553637
Name:HEALTH FREE ME PLLC
Entity Type:Organization
Organization Name:HEALTH FREE ME PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUDED
Authorized Official - Suffix:
Authorized Official - Credentials:DDS/MPH
Authorized Official - Phone:440-454-4530
Mailing Address - Street 1:31088 BELLERIVE CT
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1893
Mailing Address - Country:US
Mailing Address - Phone:440-454-4530
Mailing Address - Fax:
Practice Address - Street 1:13710 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3520
Practice Address - Country:US
Practice Address - Phone:440-454-4530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental