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Organization
RASHAD M. ALTAWATY DDS PLLC
Active
Organization
RASHAD M. ALTAWATY DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHAD M ALTAWATY DDS (OWNER)
(254) 690-0092
Entity
Organization
Contact information
Practice address
8143 AGORA PKWY, STE 105, SELMA, TX 78154-1341
(210) 659-6622
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30361
TX
Other
Enumeration date
12/09/2015
Last updated
04/12/2016
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