Provider Demographics
NPI:1750571386
Name:HARB, MARIBEL (DDS)
Entity type:Individual
Prefix:MRS
First Name:MARIBEL
Middle Name:
Last Name:HARB
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3055 SAGE RD
Mailing Address - Street 2:# 190
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-6303
Mailing Address - Country:US
Mailing Address - Phone:713-623-6622
Mailing Address - Fax:713-623-6688
Practice Address - Street 1:3055 SAGE RD
Practice Address - Street 2:# 190
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-6303
Practice Address - Country:US
Practice Address - Phone:713-623-6622
Practice Address - Fax:713-623-6688
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211381223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics