Omar Alswaiti
Dentist in Fort Worth, TX. Individual provider (NPI-1).
NPI number1124644604
StatusActive
Last updated in NPPESAug 22, 2023
Details
- NPI
- 1124644604
- Entity type
- Individual (NPI-1)
- Name
- Omar Alswaiti
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2020
- Certification date
- Aug 22, 2023
- Last updated
- Aug 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 39920 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 12797 | CT |
Practice location
1129 Green Oaks RdFort Worth, TX 76116-1501
Phone 253-318-4997
Mailing address
2252 Sage Hill LnCoppell, TX 75019-6162
Phone 253-318-4997
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