Organization
MASID LLC
Active
Organization
MASID LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAISA IDRISS D.M.D. (DENTIST)
(281) 257-8815
Entity
Organization
Contact information
Practice address
7809 LOUETTA RD, SPRING, TX 77379-7007
(281) 257-8815
(281) 257-6267
Mailing address
7809 LOUETTA RD, SPRING, TX 77379-7007
(281) 257-8815
(281) 257-6267
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
17900
TX
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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