Organization
BISHARA DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MENA BISHARA DMD (DENTIST)
(702) 885-4311
Entity
Organization
Contact information
Practice address
6060 RICHMOND AVE, HOUSTON, TX 77057-6227
(702) 885-4311
Mailing address
6060 RICHMOND AVE, HOUSTON, TX 77057-6227
(702) 885-4311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25091
TX
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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