Organization
FAIRMONT RSVJRN PLLC
Active
Other names
Adventure Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
NINA ABTAHI (MANAGER)
(214) 493-1216
Entity
Organization
Contact information
Practice address
152 FAIRMONT PKWY, PASADENA, TX 77504-2740
(214) 493-1216
Mailing address
152 FAIRMONT PKWY, PASADENA, TX 77504-2740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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