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Organization
CLEAR LAKE ORAL AND MAXILLOFACIAL SURGEYY, PLLC
Active
Organization
CLEAR LAKE ORAL AND MAXILLOFACIAL SURGEYY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHOLAM REZA ZAKHIREH DMD (MANAGER/PRESIDENT)
(281) 338-7700
Entity
Organization
Contact information
Practice address
17448 HIGHWAY 3 STE 170, WEBSTER, TX 77598-4139
(281) 338-7700
(281) 338-7703
Mailing address
17448 HIGHWAY 3 STE 170, WEBSTER, TX 77598-4139
(281) 338-7700
(281) 338-7703
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13577
TX
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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