Individual
DR. BASMA FALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6252 DAVIS BLVD, SUITE 100, NORTH RICHLAND HILLS, TX 76180-7422
(650) 248-4069
Mailing address
3904 MATTISON AVE, FORT WORTH, TX 76107-2623
(650) 248-4069
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24518
TX
Other
Enumeration date
09/19/2007
Last updated
10/25/2010
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