Organization
SHAHID DENTAL GROUP, PLLC
Active
Other names
Omaha Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN E TUINEI (CREDENTIALING MANAGER)
(602) 750-6897
Entity
Organization
Contact information
Practice address
607 RAY JACOBS AVE, OMAHA, TX 75571-4142
(903) 884-2321
Mailing address
607 RAY JACOBS AVE, OMAHA, TX 75571-4142
(903) 884-2321
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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