| NPI | 1730536392 |
|---|---|
| Doing Business As | WESTOVER HILLS FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHIVA IZADDOUST President 210-927-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 17028) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |