Individual
BIHISHTA ABDUL WASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9001 SPENCER HWY STE J, LA PORTE, TX 77571-3897
(253) 722-2161
Mailing address
9001 SPENCER HWY STE J, LA PORTE, TX 77571-3897
(253) 597-4550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35359
TX
1223G0001X
General Practice Dentistry
DE60969187
WA
Other
Enumeration date
07/12/2019
Last updated
01/11/2023
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