Organization
CELINE DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAER AL AZZAWI DMD (OWNER/ PRESIDENT)
(713) 382-8654
Entity
Organization
Contact information
Practice address
27002 NORTHWEST FWY STE 120, CYPRESS, TX 77433-7974
(713) 382-8654
Mailing address
27002 NORTHWEST FWY STE 120, CYPRESS, TX 77433-7974
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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