Provider Demographics
NPI:1689912719
Name:DRS ELRAWY ABUZAKYAH AND THABET LLC
Entity Type:Organization
Organization Name:DRS ELRAWY ABUZAKYAH AND THABET LLC
Other - Org Name:ANGEL DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ABUZAKYAH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:216-825-5952
Mailing Address - Street 1:1494 S ARLINGTON ST
Mailing Address - Street 2:A
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-3832
Mailing Address - Country:US
Mailing Address - Phone:330-724-7294
Mailing Address - Fax:
Practice Address - Street 1:1494 S ARLINGTON ST
Practice Address - Street 2:A
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-3832
Practice Address - Country:US
Practice Address - Phone:330-724-7294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty