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Organization
MOREDENTAL, P.L.L.C.
Active
Organization
MOREDENTAL, P.L.L.C.
Active
Other names
Moresmiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAYSAM DAWOD DDS (OWNER)
(361) 643-7811
Entity
Organization
Contact information
Practice address
501 MOORE AVE, PORTLAND, TX 78374-1605
(361) 643-7811
(361) 643-4028
Mailing address
501 MOORE AVE, PORTLAND, TX 78374-1605
(361) 643-7811
(361) 643-4028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972717445
NPI
TX
Enumeration date
10/10/2019
Last updated
10/10/2019
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