Healthcare Provider Details

I. General information

NPI: 1720870793
Provider Name (Legal Business Name): SABA N/A SEFIDABI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9601 CHESTER AVE DEPT OF
CLEVELAND OH
44106-1666
US

IV. Provider business mailing address

9601 CHESTER AVE DEPT OF
CLEVELAND OH
44106-1666
US

V. Phone/Fax

Practice location:
  • Phone: 216-368-2460
  • Fax:
Mailing address:
  • Phone: 216-368-2460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number182535
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: