Individual
MISS BEMISAL ITMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3080 N EASTMAN RD STE 104, LONGVIEW, TX 75605-7978
(214) 680-6376
Mailing address
1216 ARIZONA, PRINCETON, TX 75407-2849
(214) 680-6376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40620
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2023
Last updated
06/26/2024
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