Sam Antoon, Dmd, PA

NPI #1104360767 in Plano, Texas

Provider Information

NPI Number: 1104360767
Entity Type: Organization
Organization Name: Sam Antoon, Dmd, PA
Subpart: Yes (part of a larger organization)
Parent Organization: SAM ANTOON, DMD, PA
Primary Specialty: Dentist
Enumeration Date: Dec 15, 2016
Last Updated: Dec 15, 2016

Practice Location

Address: 6521 PRESTON RD
Address 2: SUITE 300
City: Plano
State: Texas
ZIP Code: 75024-2712
Phone: (972) 267-5000

Authorized Official

Name: DR. OUSAMA ANTOON DMD, D.M.D.
Title: OWNER/DENTIST
Phone: (972) 267-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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