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11020 Airline Dr Houston TX 77037-1112 | |
| (214) 493-1216 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11020 Airline Dr, Houston, Texas |
| Authorized Official Name and Position | Ramin Jafari (MANAGING MEMBER) |
| Authorized Official Contact | 2144931216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11020 Airline Dr Houston TX 77037-1112 Ph: () - | 11020 Airline Dr Houston TX 77037-1112 Ph: (214) 493-1216 |
| NPI Number | 1013398551 |
|---|---|
| Provider Enumeration Date | 06/10/2015 |
| Last Update Date | 06/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013398551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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