| Burst Dental Pllc | |
|
2630 N Josey Ln Ste 133 Carrollton TX 75007-5542 | |
| (972) 798-2644 | |
| (972) 798-2641 |
| Full Name | Burst Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2630 N Josey Ln Ste 133, Carrollton, Texas |
| Authorized Official Name and Position | Ibrahim Houari (OWNER) |
| Authorized Official Contact | 4694381754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burst Dental Pllc 2630 N Josey Ln Ste 133 Carrollton TX 75007-5542 Ph: () - | Burst Dental Pllc 2630 N Josey Ln Ste 133 Carrollton TX 75007-5542 Ph: (972) 798-2644 |
| NPI Number | 1518679653 |
|---|---|
| Provider Enumeration Date | 12/20/2022 |
| Last Update Date | 12/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518679653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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