Organization
PAISANO KIDZ DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM AL-HASHIMI DDS (PRESIDENT)
(602) 463-9258
Entity
Organization
Contact information
Practice address
5301 ALAMEDA AVE, SUITE E, EL PASO, TX 79905-2805
(602) 463-9258
(915) 351-6601
Mailing address
5301 ALAMEDA AVE, SUITE E, EL PASO, TX 79905-2805
(602) 463-9258
(915) 351-6601
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
25179
TX
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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