Provider Demographics
NPI:1841597374
Name:NASSIF, VICTORIA RHODES (DDS)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:RHODES
Last Name:NASSIF
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 CLARK AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-1111
Mailing Address - Country:US
Mailing Address - Phone:216-696-1515
Mailing Address - Fax:
Practice Address - Street 1:2500 CLARK AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-1111
Practice Address - Country:US
Practice Address - Phone:216-696-1515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH19788122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist