| Full Name | Khavis Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5596 Mayfield Rd, Lyndhurst, Ohio |
| Authorized Official Name and Position | Rafael Khavis (STATUTORY AGENT/DENTIST) |
| Authorized Official Contact | 9178224185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khavis Llc 4499 Groveland Rd University Heights OH 44118-3920 Ph: () - | Khavis Llc 5596 Mayfield Rd Lyndhurst OH 44124-2921 Ph: (440) 442-8220 |
| NPI Number | 1861102329 |
|---|---|
| Provider Enumeration Date | 11/24/2022 |
| Last Update Date | 11/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861102329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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