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1265830947
IDENTAL
DALLAS, TX
NPI
1265830947
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Entity Type
Organization
Authorized Contact
HOSSAIN DEZHAM
Dentist/ Owner
916-716-8311
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 19711)
Enumeration Date
2014-12-12
Last Update Date
2016-09-20
Business Address
IDENTAL
14902 PRESTON RD 401
DALLAS, TX 75254-9191
Phone number: 916-425-4172
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Mailing Address
IDENTAL
14205 HUGHES LN
DALLAS, TX 75254-8655
Phone number:
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