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Organization
NESHAT YAZDI DDS PA
Active
Organization
NESHAT YAZDI DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NESHAT YAZDI DDA PA (OWNER/ TREATING PROVIDER)
(713) 864-3993
Entity
Organization
Contact information
Practice address
915 N SHEPHERD DR STE D, HOUSTON, TX 77008-6500
(713) 864-3993
(713) 426-2498
Mailing address
915 N SHEPHERD DR STE D, HOUSTON, TX 77008-6500
(713) 864-3993
(713) 426-2498
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007886702
—
TX
05
—
007886703
—
TX
Enumeration date
12/14/2010
Last updated
12/14/2010
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