Individual
DR. EHSAN JAVIDAN-NEJAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1111 W AIRPORT FWY STE 121, IRVING, TX 75062-6204
(214) 596-0003
(214) 596-0751
Mailing address
18909 LLOYD CIR APT 8210, DALLAS, TX 75252-2633
(313) 529-2404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27429
TX
1223G0001X
General Practice Dentistry
2901020312
MI
Other
Enumeration date
10/18/2010
Last updated
01/29/2013
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