Provider Demographics
NPI:1629601117
Name:BIENI, PRECIOUS
Entity Type:Individual
Prefix:
First Name:PRECIOUS
Middle Name:
Last Name:BIENI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7650 S INTERSTATE 35 E STE 152
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-1840
Mailing Address - Country:US
Mailing Address - Phone:940-497-2252
Mailing Address - Fax:940-497-2281
Practice Address - Street 1:7650 S INTERSTATE 35 E STE 152
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-1840
Practice Address - Country:US
Practice Address - Phone:940-497-2252
Practice Address - Fax:940-497-2281
Is Sole Proprietor?:No
Enumeration Date:2020-02-13
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN4833122300000X
TX37651122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist