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Individual

MRS. AISHA BANO HUSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1907 E SOUTHMORE AVE STE 6, PASADENA, TX 77502-1314
(713) 472-6100
(713) 472-6101
Mailing address
1907 E SOUTHMORE AVE STE 6, PASADENA, TX 77502-1314
(713) 472-6100
(713) 472-6101

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23561
TX

Other

Enumeration date
04/15/2008
Last updated
04/15/2008
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