Individual
DR. SHATHA BOU MECHREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS
Contact information
Practice address
6080 WATER ST APT 1507, PLANO, TX 75024-0077
(904) 729-2866
Mailing address
6080 WATER ST APT 1507, PLANO, TX 75024-0077
(904) 729-2866
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
38010
TX
Other
Enumeration date
09/21/2021
Last updated
03/02/2023
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