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General NPI Number Information
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NPI Number | 1699620112
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Entity Type | Organization
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Legal Business Name | AVON ORTH, LLC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 16363 PEARL RD UNIT 2
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City | STRONGSVILLE
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State | OH
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Zip | 44136-6003
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Country | US
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Telephone | 440-934-5800
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Fax | 440-934-5801
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Provider Business Mailing Address
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Address Line | 19495 CAVENDISH CT
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City | NORTH ROYALTON
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State | OH
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Zip | 44133-6117
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Country | US
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Telephone | 267-648-6428
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMAD SARRAJ
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Credential | DDS, MSC
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Telephone | 267-648-6428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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