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Organization
SASAN BASTANI, DDS, PLLC
Active
Organization
SASAN BASTANI, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SASAN BASTANI DDS (DENTIST)
(832) 654-3100
Entity
Organization
Contact information
Practice address
1825 WICHITA ST, HOUSTON, TX 77004-5952
(832) 654-3100
Mailing address
PO BOX 22456, HOUSTON, TX 77227-2456
(832) 654-3100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29371
TX
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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