Individual
HEND KISAIBAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BDS
Contact information
Practice address
1932 E SE LOOP 323, TYLER, TX 75701-8337
(430) 205-8686
Mailing address
1675 OLD CANTON RD, MARIETTA, GA 30062-2619
(404) 667-3780
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
42011
TX
Other
Enumeration date
12/19/2025
Last updated
01/05/2026
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