Organization
FATEMEH EBRAHIMI DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATEMEH EBRAHIMI DDS (OWNER)
(832) 382-5626
Entity
Organization
Contact information
Practice address
7521 SW FWY, HOUSTON, TX 77074-1903
(713) 779-2273
(713) 778-9802
Mailing address
7521 SW FREEWAY, HOUSTON, TX 77074
(713) 779-2273
(713) 778-9802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891908810
NPI PERSONAL NUMBER
TX
Enumeration date
10/28/2009
Last updated
10/28/2009
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