Provider Demographics
NPI:1841709367
Name:CHAM DENTAL CLINIC
Entity type:Organization
Organization Name:CHAM DENTAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NADA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSAWAF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:346-718-2188
Mailing Address - Street 1:2656 S LOOP W STE 220
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2798
Mailing Address - Country:US
Mailing Address - Phone:346-718-2188
Mailing Address - Fax:346-718-2174
Practice Address - Street 1:2656 S LOOP W STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2798
Practice Address - Country:US
Practice Address - Phone:346-718-2188
Practice Address - Fax:346-718-2174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208091223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty