Individual
AYA ESSMAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2829 S LAKELINE BLVD UNIT 821, CEDAR PARK, TX 78613-1801
(916) 912-0027
Mailing address
2829 S LAKELINE BLVD UNIT 821, CEDAR PARK, TX 78613-1801
(916) 912-0027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36863
TX
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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