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NPI Code Detail

MEDICARE: DR. MOEMEN METWALLY DDS

MEDICARE:  DR. MOEMEN  METWALLY  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
11223G0001XGeneral Practice Dentistry30.023638OH

General Provider Information

NPI Number : 1477827103
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOEMEN METWALLY DDS
Provider Business Mailing Address
First Line : 726 HOWE AVE
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44221-5124
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 726 HOWE AVE
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44221-5124
Country : US
Telephone Number : 330-752-1003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2012
Last Update Date : 02/27/2012

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Directions to “ DR. MOEMEN METWALLY DDS” Practice Location

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