Provider Demographics
NPI:1811958069
Name:DAOUD, MAYSOUN S (DDS)
Entity type:Individual
Prefix:DR
First Name:MAYSOUN
Middle Name:S
Last Name:DAOUD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MAYSOUN
Other - Middle Name:S
Other - Last Name:DAOUD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:27075 SANCTUARY LN
Mailing Address - Street 2:
Mailing Address - City:OLMSTED TWP
Mailing Address - State:OH
Mailing Address - Zip Code:44138-3727
Mailing Address - Country:US
Mailing Address - Phone:440-427-9060
Mailing Address - Fax:
Practice Address - Street 1:6315 PEARL RD
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3082
Practice Address - Country:US
Practice Address - Phone:440-842-2200
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH22024122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist