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Organization
EA DENTAL PLLC
Active
Organization
EA DENTAL PLLC
Active
Other names
Pura Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED ABDEL MONEIM ABBASS DDS (DENTIST)
(651) 408-5631
Entity
Organization
Contact information
Practice address
2121 NORTHWEST HWY STE 112, GARLAND, TX 75041-4851
(651) 408-5631
Mailing address
4620 SOUTHPOINTE DR, RICHARDSON, TX 75082-3857
(310) 909-6839
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801181102
—
TX
Enumeration date
02/07/2024
Last updated
05/08/2024
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