Individual
DR. HAITHAM M HAITHAM OTHMAN AGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
512 W STASSNEY LN, AUSTIN, TX 78745-3178
(929) 389-2343
Mailing address
4095 COUNTRYDOWN DR, GREENVILLE, NC 27834-0546
(929) 389-2343
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
31626
TX
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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