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Organization

DOMINION 1 DENTAL DENTAL GROUP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HANAN ADEL ELSAIE D.D.S. (OWNER)
(214) 901-8319
Entity
Organization

Contact information

Practice address
801 W PARK ROW DR, ARLINGTON, TX 76013-3904
(817) 784-7888
Mailing address
801 W PARK ROW DRIVE, ARLINGTON, TX 76013
(817) 784-7888

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19153
TX

Other

Enumeration date
10/25/2016
Last updated
10/25/2016
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