Provider Demographics
NPI:1316491392
Name:SAAB, DEALLA (DDS)
Entity type:Individual
Prefix:
First Name:DEALLA
Middle Name:
Last Name:SAAB
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:DEALLA
Other - Middle Name:
Other - Last Name:EID
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2727 KIRBY DR APT 16D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1157
Mailing Address - Country:US
Mailing Address - Phone:832-630-0269
Mailing Address - Fax:
Practice Address - Street 1:1107 E JAMES ST
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-5821
Practice Address - Country:US
Practice Address - Phone:832-630-0269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX321231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice