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NPI Code Detail

MEDICARE: DR. MAYSOUN S DAOUD D.D.S

MEDICARE: DR. MAYSOUN S DAOUD D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist22024OH

General Provider Information

NPI Number : 1811958069
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAYSOUN S DAOUD D.D.S
Provider Business Mailing Address
First Line : 27075 SANCTUARY LN
Second Line :
City : OLMSTED TWP
State : OH
Zip : 44138-3727
Country : US
Telephone Number : 440-427-9060
Fax Number :
Provider Business Practice Location Address
First Line : 6315 PEARL RD
Second Line :
City : PARMA HEIGHTS
State : OH
Zip : 44130-3082
Country : US
Telephone Number : 440-842-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 07/08/2007

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