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NPI Code Detail

MEDICARE: DR. VICTORIA RHODES NASSIF DDS

MEDICARE:  DR. VICTORIA RHODES NASSIF  DDS
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
1122300000XDentist19788OH

General Provider Information

NPI Number : 1841597374
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTORIA RHODES NASSIF DDS
Provider Business Mailing Address
First Line : 2500 CLARK AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-1111
Country : US
Telephone Number : 216-696-1515
Fax Number :
Provider Business Practice Location Address
First Line : 2500 CLARK AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-1111
Country : US
Telephone Number : 216-696-1515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2011
Last Update Date : 02/18/2011

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Directions to “ DR. VICTORIA RHODES NASSIF DDS” Practice Location

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