Organization
SMILESH
Active
Other names
TORC Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SUBEA HIJAZI (DENTIST)
(832) 455-6503
Entity
Organization
Contact information
Practice address
2690 E HIGHWAY 290, DRIPPING SPRINGS, TX 78620-3971
(512) 607-6500
Mailing address
18633 AMBERG PL, AUSTIN, TX 78738-1020
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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