Organization
ALASSAF DENTAL PLLC
Active
Other names
Blue Mound Dental
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR ALASSAF DDS (PRESIDENT)
(682) 204-0031
Entity
Organization
Contact information
Practice address
9716 BLUE MOUND RD, FORT WORTH, TX 76131-3301
(682) 444-6813
Mailing address
5720 MOUNTAIN STREAM TRL, FORT WORTH, TX 76244-5165
(682) 444-6813
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
08/04/2025
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