# FRESHSTART PRO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DENTAL DESIGNERS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043572555
- **Authorized official:** MAZEN S GHATTAS DMD,FAGD,CAGS,MS (DENTIST)
- **Authorized official phone:** (713) 664-1337

## Contact information

- **Practice address:** 4061 BELLAIRE BLVD, SUITE C, HOUSTON, TX 77025-1121
- **Practice address phone:** (713) 664-1337
- **Mailing address:** 4061 BELLAIRE BLVD, SUITE C, HOUSTON, TX 77025-1121
- **Mailing address phone:** (713) 664-1337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 19595 | TX | Yes |

## Other

- **Enumeration date:** 06/11/2012
- **Last updated:** 06/11/2012