Individual
ANDREW MINA TADROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11525 JUPITER RD STE 103, DALLAS, TX 75218-2579
(469) 917-7444
(469) 917-7446
Mailing address
100 E 15TH ST, SUITE 520, FORT WORTH, TX 76102-6550
(714) 330-3665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28386
TX
Other
Enumeration date
08/27/2012
Last updated
06/09/2021
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