Bihishta Abdul Wase, DMD
Dentist in La Porte, TX. Individual provider (NPI-1).
NPI number1790337384
StatusActive
Last updated in NPPESJan 11, 2023
Details
- NPI
- 1790337384
- Entity type
- Individual (NPI-1)
- Name
- Bihishta Abdul Wase
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2019
- Certification date
- Jan 11, 2023
- Last updated
- Jan 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 35359 | TX | Yes |
| 1223G0001X | Dentist, General Practice | DE60969187 | WA |
Practice location
9001 Spencer Hwy Ste JLa Porte, TX 77571-3897
Phone 253-722-2161
Mailing address
9001 Spencer Hwy Ste JLa Porte, TX 77571-3897
Phone 253-597-4550
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All 10 Dentist providers in La Porte · All 240 providers in La Porte
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