| Premier Family Dental - Westlake, Koussa, Dds Inc | |
|
24803 Detroit Rd Suite A Westlake OH 44145-2553 | |
| (440) 835-5388 | |
| (440) 835-2101 |
| Full Name | Premier Family Dental - Westlake, Koussa, Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24803 Detroit Rd, Westlake, Ohio |
| Authorized Official Name and Position | Nadeem Koussa (PRESIDENT) |
| Authorized Official Contact | 4408355388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Dental - Westlake, Koussa, Dds Inc 24803 Detroit Rd Suite A Westlake OH 44145-2553 Ph: (440) 835-5388 | Premier Family Dental - Westlake, Koussa, Dds Inc 24803 Detroit Rd Suite A Westlake OH 44145-2553 Ph: (440) 835-5388 |
| NPI Number | 1023033958 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023033958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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