# FAMILY DENTAL CORNER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124538269
- **Authorized official:** DR. SALLY ABOUASSAF DDS (OWNER)
- **Authorized official phone:** (303) 748-3815

## Contact information

- **Practice address:** 9111 FM 723 RD, RICHMOND, TX 77406-9214
- **Practice address phone:** (832) 980-9111
- **Mailing address:** 9111 FM 723 RD, RICHMOND, TX 77406-9214
- **Mailing address phone:** (832) 980-9111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 30508 | TX | Yes |

## Other

- **Enumeration date:** 10/03/2017
- **Last updated:** 10/03/2017