Provider Demographics
NPI:1164112603
Name:ROZ FAMILY DENTISTRY PC
Entity Type:Organization
Organization Name:ROZ FAMILY DENTISTRY PC
Other - Org Name:BD DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUSHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ASWAD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:832-276-4355
Mailing Address - Street 1:16815 TALISKER DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2108
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10360 HIGHWAY 6 STE C
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5270
Practice Address - Country:US
Practice Address - Phone:832-230-8588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-09
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental