Provider Demographics
NPI:1962664482
Name:CABI, C AYDIN (DDS)
Entity Type:Individual
Prefix:MR
First Name:C
Middle Name:AYDIN
Last Name:CABI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 W GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-6507
Mailing Address - Country:US
Mailing Address - Phone:330-562-1644
Mailing Address - Fax:
Practice Address - Street 1:160 W GARFIELD RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:44202-6507
Practice Address - Country:US
Practice Address - Phone:330-562-1644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH19410122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist