Organization
FAMILY DENTAL CORNER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY ABOUASSAF DDS (OWNER)
(303) 748-3815
Entity
Organization
Contact information
Practice address
9111 FM 723 RD, RICHMOND, TX 77406-9214
(832) 980-9111
Mailing address
9111 FM 723 RD, RICHMOND, TX 77406-9214
(832) 980-9111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30508
TX
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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