| Sasan Bastani, Dds, Pllc | |
|
1825 Wichita St Houston TX 77004-5952 | |
| (832) 654-3100 | |
| Not Available |
| Full Name | Sasan Bastani, Dds, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1825 Wichita St, Houston, Texas |
| Authorized Official Name and Position | Sasan Bastani (DENTIST) |
| Authorized Official Contact | 8326543100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sasan Bastani, Dds, Pllc Po Box 22456 Houston TX 77227-2456 Ph: (832) 654-3100 | Sasan Bastani, Dds, Pllc 1825 Wichita St Houston TX 77004-5952 Ph: (832) 654-3100 |
| NPI Number | 1861946212 |
|---|---|
| Provider Enumeration Date | 08/15/2016 |
| Last Update Date | 08/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861946212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 29371 (Texas) | Primary |
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