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Organization
IDRISS MOBARAK INC.
Active
Organization
IDRISS MOBARAK INC.
Active
Parent organization
IDRISS MOBARAK INC.
Other names
The Smile Designer
Organization subpart
Yes
Provider details
NPI number
Legal business name
IDRISS MOBARAK INC.
Authorized official
DR. MAISA IDRISS DMD (OWNER)
(281) 257-8815
Entity
Organization
Contact information
Practice address
7809 LOUETTA RD, SPRING, TX 77379-7007
(281) 257-8815
(281) 257-6267
Mailing address
7809 LOUETTA RD, SPRING, TX 77379-7007
(281) 257-8815
(281) 257-6267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
17900
TX
1223G0001X
General Practice Dentistry
Primary
17900
TX
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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