| NPI | 1447057344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIBA ABUSAID Dentist/Owner 254-498-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |