# AMIR IZADDOUST

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

## Provider details

- **NPI number:** 1710359971
- **Authorized official:** AMIR IZADDOUST (OWNER/PROVIDER)
- **Authorized official phone:** (817) 762-4604

## Contact information

- **Practice address:** 723 N. FIELDER RD, SUITE E, DALLAS, TX 76012
- **Practice address phone:** (214) 762-4604
- **Mailing address:** 723 N. FIELDER RD, SUITE E, DALLAS, TX 76012
- **Mailing address phone:** (214) 762-4604

## Taxonomy

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

## Other

- **Enumeration date:** 10/28/2015
- **Last updated:** 11/02/2015