Individual
DR. ABRAHAM ITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3302 GASTON AVE, DALLAS, TX 75246-2013
(214) 828-8131
(214) 874-4562
Mailing address
3025 BRYAN ST APT 2D, DALLAS, TX 75204-6175
(480) 221-6640
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D009332
AZ
Other
Enumeration date
06/10/2013
Last updated
10/09/2015
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