Individual
DR. ALIREZA SHAYAN MEHMANDOOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
31315 FM 2920 RD STE 16A, WALLER, TX 77484-8022
(936) 372-2673
(936) 372-5199
Mailing address
6215 CANYON RUN CT, KATY, TX 77450-7098
(281) 829-7094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39383
TX
Other
Enumeration date
07/08/2022
Last updated
08/14/2023
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