Organization
ALBATROSS 46 LLC
Active
Other names
Midway Dental Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
RASHID BEIRUTE-PRADA DDS, MDS (OWNER)
(817) 229-0930
Entity
Organization
Contact information
Practice address
4231 SIGMA RD STE 100, DALLAS, TX 75244-4471
(972) 233-5447
Mailing address
4231 SIGMA RD STE 100, DALLAS, TX 75244-4471
(972) 233-5447
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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