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NPI Code Detail

MEDICARE: AMANA SABIR DDS

MEDICARE: AMANA SABIR 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
11223G0001XGeneral Practice Dentistry39681TX

General Provider Information

NPI Number : 1710662531
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANA SABIR DDS
Provider Business Mailing Address
First Line : 1203 HARRIS HAWK WAY
Second Line :
City : ARLINGTON
State : TX
Zip : 76005-1107
Country : US
Telephone Number : 337-309-3612
Fax Number :
Provider Business Practice Location Address
First Line : 5190 WESTERN CENTER BLVD
Second Line :
City : HALTOM CITY
State : TX
Zip : 76137-2144
Country : US
Telephone Number : 817-631-3950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2023
Last Update Date : 06/19/2023

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