| Odessa Dental Solution Pa | |
|
2470 E 11th St Odessa TX 79762 | |
| (432) 333-4500 | |
| (432) 333-4505 |
| Full Name | Odessa Dental Solution Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2470 E 11th St, Odessa, Texas |
| Authorized Official Name and Position | Shihab M Diais (CEO DENTIST) |
| Authorized Official Contact | 4323334500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odessa Dental Solution Pa 2470 E 11th St Odessa TX 79762 Ph: (432) 333-4500 | Odessa Dental Solution Pa 2470 E 11th St Odessa TX 79762 Ph: (432) 333-4500 |
| NPI Number | 1962509570 |
|---|---|
| Provider Enumeration Date | 09/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962509570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 17794 (Texas) | Primary |
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