Individual
MR. RAWAHA MEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1932 N STORY RD, IRVING, TX 75061-1936
(972) 957-3577
Mailing address
1932 N STORY RD, IRVING, TX 75061-1936
(972) 957-3577
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
28668
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316092117
—
TX
Enumeration date
05/02/2011
Last updated
11/16/2016
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