Organization
NICHE DENTAL PPLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIDA BHANU NOORBASH DDS,MBA (DOCTOR)
(602) 472-1318
Entity
Organization
Contact information
Practice address
4031 FM 1463 RD STE 99, KATY, TX 77494-5964
(602) 472-1318
Mailing address
3203 GOLDEN HONEY LN, RICHMOND, TX 77406-2690
(602) 472-1318
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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