Provider Demographics
NPI:1508221326
Name:SAYEED, MUZAMIL
Entity Type:Individual
Prefix:
First Name:MUZAMIL
Middle Name:
Last Name:SAYEED
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 1:318 CANDLEWOOD PL
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-3513
Mailing Address - Country:US
Mailing Address - Phone:972-213-8516
Mailing Address - Fax:
Practice Address - Street 1:318 CANDLEWOOD PL
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-3513
Practice Address - Country:US
Practice Address - Phone:972-213-8516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31525122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist