Individual
HANI ALSIBAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
715 OLD AUSTIN HWY STE 400, BASTROP, TX 78602-5165
(512) 212-9803
Mailing address
10020 BENNETT PL, EDEN PRAIRIE, MN 55347-4406
(952) 334-1975
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
34718
TX
Other
Enumeration date
09/18/2018
Last updated
04/15/2023
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