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Individual

ISAAK GREENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10636 GARLAND RD, DALLAS, TX 75218-2639
(214) 328-4397
Mailing address
10636 GARLAND RD, DALLAS, TX 75218-2639

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
075168
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013015262
TX
Enumeration date
02/06/2014
Last updated
02/06/2014
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