| Gharraph,pc | |
|
3851 Sw Green Oak Blvd 123 Arlington TX 76017-4130 | |
| (817) 483-2445 | |
| Not Available |
| Full Name | Gharraph,pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3851 Sw Green Oak Blvd, Arlington, Texas |
| Authorized Official Name and Position | Hussam M Gharraph (OWNER/DIRECTOR) |
| Authorized Official Contact | 9097098822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gharraph,pc 4609 Gardenia Way Plano TX 75093-7093 Ph: (909) 709-8822 | Gharraph,pc 3851 Sw Green Oak Blvd 123 Arlington TX 76017-4130 Ph: (817) 483-2445 |
| NPI Number | 1982022745 |
|---|---|
| Provider Enumeration Date | 03/30/2014 |
| Last Update Date | 03/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982022745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 29173 (Texas) | Primary |
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