# BELLA DENTAL, PLLC

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

## Provider details

- **NPI number:** 1376760033
- **Authorized official:** FATEMEH BIJAN DDS (PRESIDENT)
- **Authorized official phone:** (281) 859-7777

## Contact information

- **Practice address:** 5516 FRY ROAD, KATY, TX 77449-5746
- **Practice address phone:** (281) 859-7777
- **Practice address fax:** (281) 656-2205
- **Mailing address:** 5516 FRY ROAD, KATY, TX 77449-5746
- **Mailing address phone:** (281) 859-7777
- **Mailing address fax:** (281) 656-2205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 08554 | TX | Yes |
| 122300000X | Dentist | 19864 | TX | — |
| 122300000X | Dentist | 20413 | TX | — |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 08/22/2020