# IMAN DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285032789
- **Authorized official:** DR. AHMAND AL MANASIR DDS (DDS/OWNER)
- **Authorized official phone:** (714) 553-5802

## Contact information

- **Practice address:** 801 N CONWAY AVE, MISSION, TX 78572-5361
- **Practice address phone:** (714) 553-5802
- **Mailing address:** 801 N CONWAY AVE, MISSION, TX 78572-5361
- **Mailing address phone:** (714) 553-5802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 28839 | TX | Yes |

## Other

- **Enumeration date:** 12/15/2014
- **Last updated:** 12/15/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1417393729 | — | TX |