Provider Demographics
NPI:1689024978
Name:AL SINAWI, RADHWAN (DMD)
Entity Type:Individual
Prefix:
First Name:RADHWAN
Middle Name:
Last Name:AL SINAWI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11210 PUCKETT RIVER DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-0237
Mailing Address - Country:US
Mailing Address - Phone:847-848-4824
Mailing Address - Fax:
Practice Address - Street 1:23227 GOSLING RD STE B
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-5477
Practice Address - Country:US
Practice Address - Phone:713-489-0538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-16
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38854122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist