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Organization
SOUTH BELT DENTAL, P.A.
Active
Organization
SOUTH BELT DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARNAZ NICKI TAJALLI D.D.S. (PRESIDENT)
(713) 540-2250
Entity
Organization
Contact information
Practice address
13630 BEAMER RD, SUITE 112, HOUSTON, TX 77089-6069
(281) 481-2273
Mailing address
13630 BEAMER RD, SUITE 112, HOUSTON, TX 77089-6069
(281) 481-2273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18889
TX
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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