Provider Demographics
NPI:1568022689
Name:DR GHAZAL DDS & PARTNERS LLC
Entity Type:Organization
Organization Name:DR GHAZAL DDS & PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAYED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-692-3777
Mailing Address - Street 1:5349 OBERLIN AVE
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-3437
Mailing Address - Country:US
Mailing Address - Phone:216-692-3777
Mailing Address - Fax:216-692-3688
Practice Address - Street 1:5349 OBERLIN AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-3437
Practice Address - Country:US
Practice Address - Phone:216-692-3777
Practice Address - Fax:216-692-3688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty