Provider Demographics
NPI:1619405578
Name:KAIZEN FAMILY DENTAL
Entity Type:Organization
Organization Name:KAIZEN FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDUL
Authorized Official - Suffix:
Authorized Official - Credentials:BDS
Authorized Official - Phone:513-463-3000
Mailing Address - Street 1:7789 COX LN
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-6549
Mailing Address - Country:US
Mailing Address - Phone:513-463-3000
Mailing Address - Fax:
Practice Address - Street 1:7789 COX LN
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6549
Practice Address - Country:US
Practice Address - Phone:513-463-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-23
Last Update Date:2017-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty