Individual
DUHA BAYATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6532 LAKE WORTH BLVD, LAKE WORTH, TX 76135-3002
(817) 778-0117
Mailing address
5500 N BEACH ST APT 6358, HALTOM CITY, TX 76137-2904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40844
TX
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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