Organization
WISH DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR FETOUH (PRESIDENT)
(716) 348-9855
Entity
Organization
Contact information
Practice address
6805 NE LOOP 820 STE 400, NORTH RICHLAND HILLS, TX 76180-6687
(817) 383-0005
Mailing address
6805 NE LOOP 820 STE 400, NORTH RICHLAND HILLS, TX 76180-6687
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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