Organization
OMAR FETOUH, D.D.S., M.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR FETOUH D.D.S. (ORTHODONTIST)
(716) 348-9855
Entity
Organization
Contact information
Practice address
900 N BLUE MOUND RD, SUITE 125, SAGINAW, TX 76131-4810
(716) 348-9855
Mailing address
900 N BLUE MOUND RD, SUITE 125, SAGINAW, TX 76131-4810
(716) 348-9855
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24313
TX
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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