Individual
MAHZAD KOOCHAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20230 KATY FWY, KATY, TX 77449-7500
(281) 717-9115
Mailing address
PO BOX 41, KATY, TX 77492-0146
(248) 252-7778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901022326
MI
1223E0200X
Endodontics
Primary
39346
TX
Other
Enumeration date
05/02/2017
Last updated
07/26/2024
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