Individual
SIMI ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4541 N JOSEY LN STE 210, CARROLLTON, TX 75010-4780
(469) 669-0222
Mailing address
2101 IRONSIDE DR, LEWISVILLE, TX 75056-4215
(423) 240-4713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
058189
NY
1223G0001X
General Practice Dentistry
26369
TX
1223P0221X
Pediatric Dentistry
Primary
26369
TX
Other
Enumeration date
07/10/2010
Last updated
05/10/2020
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