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Organization
PERLA DENTAL OF BURLESON
Active
Organization
PERLA DENTAL OF BURLESON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYESHA HUSSAIN DDS (OWNER)
(469) 387-3332
Entity
Organization
Contact information
Practice address
1055 SW WILSHIRE BLVD, SUITE 101, BURLESON, TX 76028-8727
(682) 472-8473
Mailing address
1055 SW WILSHIRE BLVD, SUITE 101, BURLESON, TX 76028-8727
(682) 472-8473
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21330
TX
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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