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Organization
WEST TEXAS DENTAL
Active
Organization
WEST TEXAS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOSSAIN DEZHAM (PRESIDENT)
(916) 716-8311
Entity
Organization
Contact information
Practice address
2133 BUCKINGHAM RD, RICHARDSON, TX 75081-5477
(916) 716-8311
Mailing address
2133 BUCKINGHAM RD, RICHARDSON, TX 75081-5477
(916) 716-8311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19711
TX
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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