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Organization

JASON S. DAABOUL DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON SAAD-EDDINE DAABOUL DDS (PRESIDENT)
(817) 690-8088
Entity
Organization

Contact information

Practice address
2800 WILLIAM D. TATE AVENUE, SUITE 200, GRAPEVINE, TX 76051
(817) 488-7885
(817) 421-6176
Mailing address
2800 WILLIAM D. TATE AVENUE, SUITE 200, GRAPEVINE, TX 76051
(817) 488-7885
(817) 421-6176

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
03/02/2023
Last updated
03/02/2023
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