Provider Demographics
NPI:1033659420
Name:EL-DAHDAH, BESHIR
Entity Type:Individual
Prefix:
First Name:BESHIR
Middle Name:
Last Name:EL-DAHDAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6501 S FRY RD
Mailing Address - Street 2:STE 800
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3376
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6501 S FRY RD
Practice Address - Street 2:STE 800
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3376
Practice Address - Country:US
Practice Address - Phone:281-574-5005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX323821223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics