Provider Demographics
NPI:1134694649
Name:ASIRI FAMILY DENTISTRY PLLC
Entity Type:Organization
Organization Name:ASIRI FAMILY DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-930-7733
Mailing Address - Street 1:8000 MCBETH WAY STE 145
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-1257
Mailing Address - Country:US
Mailing Address - Phone:832-930-7733
Mailing Address - Fax:281-466-2518
Practice Address - Street 1:8000 MCBETH WAY STE 145
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-1257
Practice Address - Country:US
Practice Address - Phone:832-930-7733
Practice Address - Fax:281-466-2518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental