# DENTASPA PLLC

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

## Provider details

- **NPI number:** 1285106716
- **Authorized official:** DR. HAITHAM AL-SALMAN DDS (OWNER)
- **Authorized official phone:** (909) 471-3670

## Contact information

- **Practice address:** 2960 INTERSTATE 45 N STE 300, CONROE, TX 77303-7912
- **Practice address phone:** (909) 471-3670
- **Practice address fax:** (210) 447-7088
- **Mailing address:** 2960 INTERSTATE 45 N STE 300, CONROE, TX 77303-7912
- **Mailing address phone:** (909) 471-3670
- **Mailing address fax:** (210) 447-7088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 1223G0001X | General Practice Dentistry | — | — | — |

## Other

- **Enumeration date:** 12/21/2018
- **Last updated:** 10/28/2022