MEDICARE: DR. NATASHA HASSAM-SARWAR DDS

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	122300000X	Dentist	30785	TX

General Provider Information

NPI Number	:	1306243811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATASHA HASSAM-SARWAR DDS

Provider Business Mailing Address
First Line	:	277 MELROSE AVE
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039-3201
Country	:	US
Telephone Number	:	518-332-5472
Fax Number	:

Provider Business Practice Location Address
First Line	:	2745 N COLLINS ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-7108
Country	:	US
Telephone Number	:	817-438-6186
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2014
Last Update Date	:	07/24/2020

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