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1407220429
DENTAL BOUTIQUE PLLC
HOUSTON, TX
NPI
1407220429
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Entity Type
Organization
Authorized Contact
FARNAZ NICKI TAJALLI
President
832-289-2273
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 18889)
Enumeration Date
2015-11-16
Last Update Date
2015-11-16
Business Address
DENTAL BOUTIQUE PLLC
9738 KATY FWY STE 400
HOUSTON, TX 77055-6214
Phone number: 832-289-2273
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Mailing Address
DENTAL BOUTIQUE PLLC
13630 BEAMER RD STE 112
HOUSTON, TX 77089-6037
Phone number: 832-289-2273
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