Individual
DR. KEVIN BAHARVAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4713 HIGHWAY 121 STE 304, THE COLONY, TX 75056-2901
(617) 699-2519
Mailing address
PO BOX 860036, MINNEAPOLIS, MN 55486-0036
(214) 618-5311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
32435
TX
122300000X
Dentist
DN1856667
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
32435
TX
Other
Enumeration date
08/26/2014
Last updated
03/20/2024
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