Individual
ANAHITA MORTAZAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7500 CAMBRIDGE ST, HOUSTON, TX 77054-2032
(713) 320-3911
Mailing address
4111 PONDEROSA HILLS LN, KATY, TX 77494-6736
(713) 320-3911
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
17287
TX
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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