Shahid Dental Group, Pllc

NPI #1346830874 in Omaha, Texas

Provider Information

NPI Number: 1346830874
Entity Type: Organization
Organization Name: Shahid Dental Group, Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 19, 2021
Last Updated: Jan 19, 2021

Practice Location

Address: 607 RAY JACOBS AVE
City: Omaha
State: Texas
ZIP Code: 75571-4142
Phone: (903) 884-2321

Authorized Official

Name: BENJAMIN E TUINEI
Title: CREDENTIALING MANAGER
Phone: (602) 750-6897

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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