SUBEA HIJAZI

BASTROP, TX
NPI1710407838
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: TX  34416)
Additional Taxonomies122300000X Dentist
(Licence: DC  den1001751)
Enumeration Date2017-06-20
Last Update Date2021-03-14
Business Address
SUBEA HIJAZI DMD
715 OLD AUSTIN HWY
BASTROP, TX 78602-5164
Phone number: 512-595-7452
Mailing Address
SUBEA HIJAZI DMD
1631 KALORAMA RD NW APT 17
WASHINGTON, DC 20009-3515
Phone number: 832-455-6503
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