| Iman Dental Center | |
|
801 N Conway Ave Mission TX 78572-5361 | |
| (714) 553-5802 | |
| Not Available |
| Full Name | Iman Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 801 N Conway Ave, Mission, Texas |
| Authorized Official Name and Position | Ahmand Al Manasir (DDS/OWNER) |
| Authorized Official Contact | 7145535802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iman Dental Center 801 N Conway Ave Mission TX 78572-5361 Ph: (714) 553-5802 | Iman Dental Center 801 N Conway Ave Mission TX 78572-5361 Ph: (714) 553-5802 |
| NPI Number | 1285032789 |
|---|---|
| Provider Enumeration Date | 12/15/2014 |
| Last Update Date | 12/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285032789 | NPI | - | NPPES |
| 1417393729 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 28839 (Texas) | Primary |
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