Idriss Mobarak Inc.

NPI #1043454135 in Spring, Texas

Provider Information

NPI Number: 1043454135
Entity Type: Organization
Organization Name: Idriss Mobarak Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: IDRISS MOBARAK INC.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 21, 2009
Last Updated: Apr 21, 2009

Practice Location

Address: 7809 LOUETTA RD
City: Spring
State: Texas
ZIP Code: 77379-7007
Phone: (281) 257-8815

Authorized Official

Name: DR. MAISA IDRISS, DMD
Title: OWNER
Phone: (281) 257-8815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Prosthodontics — Prosthodontics	1223P0700X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist - General Practice — General Practice	1223G0001X	Primary

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