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1487215018
KEYVAN NAMAZI MATTEO
BELLMEAD, TX
NPI
1487215018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122400000X Denturist
(Licence: TX 35413)
Enumeration Date
2019-06-25
Last Update Date
2019-06-25
Business Address
KEYVAN NAMAZI MATTEO DDS
121 EASTGATE PLZ
BELLMEAD, TX 76705-2868
Phone number: 254-799-4867
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Mailing Address
KEYVAN NAMAZI MATTEO DDS
5705B ELEPHANT BUTTE
WACO, TX 76708-7501
Phone number:
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