IDENTAL

DALLAS, TX
NPI1245778935
Entity TypeOrganization
Authorized ContactHOSSAIN DEZHAM
Dentist
916-425-4172
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  19711)
Enumeration Date2017-02-02
Last Update Date2017-02-02
Business Address
IDENTAL
14902 PRESTON RD STE 401
DALLAS, TX 75254-9132
Phone number: 916-425-4172
Mailing Address
IDENTAL
14902 PRESTON RD STE 401
DALLAS, TX 75254-9132
Phone number: 916-425-4172
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