Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MOONLIGHT DENTAL CENTER
Active
Organization
MOONLIGHT DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHIN RAHGOZAR DDS,PA (DDS,PA)
(713) 974-7252
Entity
Organization
Contact information
Practice address
2500 FONDREN RD, SUITE 205, HOUSTON, TX 77063-2308
(713) 974-7252
(713) 974-5822
Mailing address
2500 FONDREN RD, SUITE 205, HOUSTON, TX 77063-2308
(713) 974-7252
(713) 974-5822
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009577007
—
TX
Enumeration date
07/13/2012
Last updated
07/13/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up