Individual
AYESHA ANJUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3030 LYNDON B JOHNSON FWY STE 1700, DALLAS, TX 75234-2759
(972) 663-5396
Mailing address
15801 ARTIST WAY APT 4213, ADDISON, TX 75001-6179
(270) 799-3260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41130
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2024
Last updated
11/29/2024
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