Provider Demographics
NPI:1134800501
Name:GLORIOUS SMILES & DENTAL IMPLANTS
Entity type:Organization
Organization Name:GLORIOUS SMILES & DENTAL IMPLANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:AUNCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULLAH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:832-597-9119
Mailing Address - Street 1:5901 WESTHEIMER RD STE D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7607
Mailing Address - Country:US
Mailing Address - Phone:713-228-3384
Mailing Address - Fax:
Practice Address - Street 1:5901 WESTHEIMER RD STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7607
Practice Address - Country:US
Practice Address - Phone:713-228-3384
Practice Address - Fax:832-957-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty