Provider Demographics
NPI:1093248684
Name:RELY DENTAL CENTERS PC
Entity Type:Organization
Organization Name:RELY DENTAL CENTERS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:RAGHID
Authorized Official - Last Name:ALOLABI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:469-387-6853
Mailing Address - Street 1:8731 BENBROOK BLVD
Mailing Address - Street 2:
Mailing Address - City:BENBROOK
Mailing Address - State:TX
Mailing Address - Zip Code:76126-3442
Mailing Address - Country:US
Mailing Address - Phone:469-387-6853
Mailing Address - Fax:
Practice Address - Street 1:8731 BENBROOK BLVD
Practice Address - Street 2:
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76126-3442
Practice Address - Country:US
Practice Address - Phone:469-387-6853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX244411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty