Organization · Type 2 NPI

Jason S. Daaboul DDS PA

Dental Clinic/Center · Grapevine, TX

NPI number 1407555121 Active

Practice location

2800 William D. Tate Avenue, Suite 200
Grapevine, TX 76051

Fax (817) 421-6176

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1407555121

Jason S. Daaboul DDS PA's National Provider Identifier is 1407555121, issued on Mar 2, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Grapevine, TX. The record was last updated on Mar 2, 2023.