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Organization
POORANG PAHLAVAN DDS PLLC
Active
Organization
POORANG PAHLAVAN DDS PLLC
Active
Other names
Smile Barn Dental
Organization subpart
No
Provider details
NPI number
Authorized official
POORANG PAHLAVAN DDS (OWNER)
(281) 529-6266
Entity
Organization
Contact information
Practice address
10815 VETERANS MEMORIAL DR STE 1000, HOUSTON, TX 77067-3888
(281) 529-6266
(281) 529-6267
Mailing address
10815 VETERANS MEMORIAL DR STE 1000, HOUSTON, TX 77067-3888
(281) 529-6266
(281) 529-6267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1350738
—
TX
Enumeration date
02/27/2019
Last updated
02/27/2019
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