MEDICARE: HASHMI DENTAL GROUP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	22559	TX

General Provider Information

NPI Number	:	1063800225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HASHMI DENTAL GROUP, INC.

Provider Business Mailing Address
First Line	:	1214 E HOUSTON ST
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77327-4754
Country	:	US
Telephone Number	:	281-593-3300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1214 E HOUSTON ST
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77327-4754
Country	:	US
Telephone Number	:	281-593-3300
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ZAYD HASHMI
Credential	:	DMD
Telephone Number	:	281-593-3300

Provider Enumeration Date	:	12/22/2014
Last Update Date	:	12/22/2014

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