Organization
MASID1 PLLC
Active
Other names
Smile Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
MAISA IDRISS D.M.D. (DENTIST)
(281) 257-8815
Entity
Organization
Contact information
Practice address
16215 NORTH FWY, HOUSTON, TX 77090-5524
(281) 444-0030
(281) 444-0036
Mailing address
16215 NORTH FWY, HOUSTON, TX 77090-5524
(281) 444-0030
(281) 444-0036
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
17900
TX
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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