Organization
BELTLINE SMILE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYADA ALTAMIMI DMD (PRESIDENT/ DENTIST)
(469) 688-4772
Entity
Organization
Contact information
Practice address
1614 E BELT LINE RD, CARROLLTON, TX 75006-6309
(469) 688-4772
Mailing address
1614 E BELT LINE RD, CARROLLTON, TX 75006-6309
(469) 688-4772
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
22981
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189148305
—
TX
Enumeration date
05/22/2013
Last updated
05/22/2013
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