Organization
BURST DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM HOUARI DDS (OWNER)
(469) 438-1754
Entity
Organization
Contact information
Practice address
2630 N JOSEY LN STE 133, CARROLLTON, TX 75007-5542
(972) 798-2644
(972) 798-2641
Mailing address
2630 N JOSEY LN STE 133, CARROLLTON, TX 75007-5542
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/28/2022
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