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1427 Wilcrest Dr Houston TX 77042-2227 | |
| (832) 293-2859 | |
| (713) 667-9011 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1427 Wilcrest Dr, Houston, Texas |
| Authorized Official Name and Position | Soroush Esfandiari (PRESIDENT) |
| Authorized Official Contact | 7136679311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1427 Wilcrest Dr Houston TX 77042-2227 Ph: (832) 293-2859 | 1427 Wilcrest Dr Houston TX 77042-2227 Ph: (832) 293-2859 |
| NPI Number | 1134415714 |
|---|---|
| Provider Enumeration Date | 06/22/2011 |
| Last Update Date | 06/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134415714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20196 (Texas) | Primary |
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