Organization
BNS DENTIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK GORAVANCHI DDS (OWNER)
(713) 446-8547
Entity
Organization
Contact information
Practice address
5420 BELLAIRE BLVD BLDG 4, BELLAIRE, TX 77401-3957
(713) 432-0900
Mailing address
5420 BELLAIRE BLVD BLDG 4, BELLAIRE, TX 77401-3957
(713) 432-0900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21389
TX
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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