# ALPHA OMEGA DENTAL PLLC

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

## Provider details

- **NPI number:** 1972271146
- **Authorized official:** DR. MENA BISHARA DMD (DENTIST)
- **Authorized official phone:** (702) 885-4311

## Contact information

- **Practice address:** 6060 RICHMOND AVE STE 210, HOUSTON, TX 77057-6262
- **Practice address phone:** (832) 767-3331
- **Practice address fax:** (832) 538-0343
- **Mailing address:** 6060 RICHMOND AVE STE 210, HOUSTON, TX 77057-6262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/02/2021
- **Last updated:** 09/02/2021