Individual
OLA AL HATEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 KINWEST PKWY, IRVING, TX 75063-3403
(832) 715-7860
Mailing address
1235 KINWEST PKWY, IRVING, TX 75063-3403
(832) 715-7860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
35298
TX
1223P0700X
Prosthodontics
Primary
35298
TX
Other
Enumeration date
06/22/2019
Last updated
12/17/2022
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