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Organization

EA DENTAL PLLC

Active
Other names
Pura Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAMED ABDEL MONEIM ABBASS DDS (DENTIST)
(651) 408-5631
Entity
Organization

Contact information

Practice address
2121 NORTHWEST HWY STE 112, GARLAND, TX 75041-4851
(651) 408-5631
Mailing address
4620 SOUTHPOINTE DR, RICHARDSON, TX 75082-3857
(310) 909-6839

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801181102
TX
Enumeration date
02/07/2024
Last updated
05/08/2024
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