Individual provider · Type 1 NPI

Abraham Itty, D.M.D

Pediatric Dentistry · Dallas, TX

NPI number 1235577412 Active

Practice location

3302 Gaston Ave
Dallas, TX 75246-2013

Fax (214) 874-4562

Mailing address

3025 Bryan St Apt 2D
Dallas, TX 75204-6175

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD009332 (AZ)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1235577412

Abraham Itty, D.M.D's National Provider Identifier is 1235577412, issued on Jun 10, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Dallas, TX. The record was last updated on Oct 9, 2015.