Individual
OMAR ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2831 W PARKER RD STE 1, PLANO, TX 75023-7936
(972) 931-9998
Mailing address
3803 W CRESCENT WAY, FRISCO, TX 75034-6345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D12670
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
28910
TX
Other
Enumeration date
06/04/2009
Last updated
03/17/2018
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