Individual
ALYAA MAFRAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4451 AUTUMN SAGE DR, PROSPER, TX 75078-1285
(210) 803-8889
Mailing address
4451 AUTUMN SAGE DR, PROSPER, TX 75078-1285
(210) 803-8889
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37976
TX
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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