| Dentvance | |
|
5438 North Fwy Houston TX 77076-4701 | |
| (818) 996-2080 | |
| Not Available |
| Full Name | Dentvance |
|---|---|
| Speciality | Dentist |
| Location | 5438 North Fwy, Houston, Texas |
| Authorized Official Name and Position | Bahman Hakim (DENTIST) |
| Authorized Official Contact | 8188576020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentvance 5438 North Fwy Houston TX 77076-4701 Ph: (818) 996-2080 | Dentvance 5438 North Fwy Houston TX 77076-4701 Ph: (818) 996-2080 |
| NPI Number | 1942550082 |
|---|---|
| Provider Enumeration Date | 09/17/2012 |
| Last Update Date | 03/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942550082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 61562 (California) | Secondary |
| 122300000X | Dentist | 28644 (Texas) | Primary |
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