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Issifu Tenii
NPI 1770042772 · on the registry since 2019 · sole proprietor
Practice
- Address
- 11203 Lake June Rd Ste 206
Balch Springs, TX 75180 - Phone
- (214) 391-7441
- Fax
- (214) 391-7443
- Organisation at this address
- J&D Dental Solutions
Lake June Pharmacy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Community/Retail Pharmacy
3336C0003X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas