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Organization
FRESH SMILE, PC
Active
Organization
FRESH SMILE, PC
Active
Other names
Lumen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FARNAZ DIANI D.D.S. (DENTIST)
(713) 517-5375
Entity
Organization
Contact information
Practice address
3222 HILLCROFT ST, HOUSTON, TX 77057-5806
(281) 999-9999
Mailing address
3222 HILLCROFT ST, HOUSTON, TX 77057-5806
(281) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
TX
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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