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Organization
WESTERN DENTAL
Active
Organization
WESTERN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOSSAIN DEZHAM (DDS)
(972) 820-0333
Entity
Organization
Contact information
Practice address
5365 SPRING VALLEY RD, STE #130, DALLAS, TX 75254-3097
(972) 820-0333
Mailing address
5365 SPRING VALLEY, STE # 130, DALLAS, TX 75254
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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