# DENTVANCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942550082
- **Authorized official:** BAHMAN HAKIM (DENTIST)
- **Authorized official phone:** (818) 857-6020

## Contact information

- **Practice address:** 5438 NORTH FWY, HOUSTON, TX 77076-4701
- **Practice address phone:** (818) 996-2080
- **Mailing address:** 5438 NORTH FWY, HOUSTON, TX 77076-4701
- **Mailing address phone:** (818) 996-2080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 28644 | TX | Yes |
| 122300000X | Dentist | 61562 | CA | — |

## Other

- **Enumeration date:** 09/17/2012
- **Last updated:** 03/07/2013