Pura Dentistry | |
2121 Northwest Hwy Ste 112 Garland TX 75041-4851 | |
(651) 408-5631 | |
Not Available |
Full Name | Pura Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 2121 Northwest Hwy Ste 112, Garland, Texas |
Authorized Official Name and Position | Mohamed Abdel Moneim Abbass (DENTIST) |
Authorized Official Contact | 6514085631 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pura Dentistry 4620 Southpointe Dr Richardson TX 75082-3857 Ph: (310) 909-6839 | Pura Dentistry 2121 Northwest Hwy Ste 112 Garland TX 75041-4851 Ph: (651) 408-5631 |
NPI Number | 1255195541 |
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Provider Enumeration Date | 02/07/2024 |
Last Update Date | 05/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255195541 | NPI | - | NPPES |
1801181102 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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