# ALL DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** All Dental P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669743282
- **Authorized official:** DR. AMIR IZADDOUST D.D.S (OWNER)
- **Authorized official phone:** (972) 386-4999

## Contact information

- **Practice address:** 5365 SPRING VALLEY RD, \#130, DALLAS, TX 75254-3097
- **Practice address phone:** (972) 386-4999
- **Practice address fax:** (972) 386-4964
- **Mailing address:** 5365 SPRING VALLEY RD, \#130, DALLAS, TX 75254-3097
- **Mailing address phone:** (972) 386-4999
- **Mailing address fax:** (972) 386-4964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 20873 | TX | Yes |

## Other

- **Enumeration date:** 01/13/2012
- **Last updated:** 01/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 166977201 | — | TX |