Provider Demographics
NPI:1053983551
Name:Y & M DENTAL GROUP, PLLC
Entity type:Organization
Organization Name:Y & M DENTAL GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:SABOUR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-663-7223
Mailing Address - Street 1:2261 OLYMPIA DR STE 300
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1857
Mailing Address - Country:US
Mailing Address - Phone:214-285-5900
Mailing Address - Fax:
Practice Address - Street 1:2261 OLYMPIA DR STE 300
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1857
Practice Address - Country:US
Practice Address - Phone:214-285-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental