# ENVISION DENTAL SPA PLLC

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

## Provider details

- **NPI number:** 1972202786
- **Authorized official:** DR. MANAR KABBANI DDS (OWNER)
- **Authorized official phone:** (918) 361-1108

## Contact information

- **Practice address:** 2411 WESTWOOD DR, ARLINGTON, TX 76012-2906
- **Practice address phone:** (817) 261-3392
- **Mailing address:** 2411 WESTWOOD DR, ARLINGTON, TX 76012-2906
- **Mailing address phone:** (817) 261-3392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2023
- **Last updated:** 03/01/2023