Individual
AMINA SOUD ADEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 SE JOHN JONES DR STE 103, BURLESON, TX 76028-8342
(817) 447-3535
Mailing address
2728 HOOD ST APT 825, DALLAS, TX 75219-5014
(540) 282-9907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
363395
TX
1223G0001X
General Practice Dentistry
363395
VA
Other
Enumeration date
10/07/2020
Last updated
01/20/2021
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