MEDICARE: NATASHA HASSAM-SARWAR, DDS PLLC

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

General Provider Information

NPI Number	:	1497380091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATASHA HASSAM-SARWAR, DDS PLLC

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 STE 101
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-7108
Country	:	US
Telephone Number	:	817-484-5588
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER/DENTIST
Name	:	DR. NATASHA HASSAM-SARWAR
Credential	:	DDS
Telephone Number	:	518-332-5472

Provider Enumeration Date	:	03/04/2020
Last Update Date	:	07/16/2020

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