Organization
DOMINION 1 DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANAN ELSAIE (OWNER)
(214) 901-8319
Entity
Organization
Contact information
Practice address
801 W PARK ROW DR, ARLINGTON, ARLINGTON, TX 76013-3904
(817) 784-7888
Mailing address
801 W PARK ROW DR, ARLINGTON, ARLINGTON, TX 76013-3904
(214) 901-8319
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19153
TX
Other
Enumeration date
10/28/2016
Last updated
11/21/2016
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