| NPI | 1851511240 |
|---|---|
| Former Legal Business Name | BAHARLOO AND FARZAM DDS PA |
| Entity Type | Organization |
| Authorized Contact | REZA BAHARLOO Dentist 713-695-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19027) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 18688) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |