Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 32382 | TX |
NPI | 1033659420 |
---|---|
Provider Name | Beshir El-Dahdah |
First Address | Katy, TX 77494-3376 |
Second Address | Katy, TX 77494-3376 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2017 |
Last Update Date | 03/03/2017 |