Organization
AGUA DENTISTRY, PLLC
Active
Other names
Agua Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHROUZ AKHAVAN D.D.S. (DENTIST/OWNER)
(818) 968-6260
Entity
Organization
Contact information
Practice address
307 E UNIVERSITY DR, EDINBURG, TX 78539-3549
(818) 968-6260
Mailing address
307 E UNIVERSITY DR, EDINBURG, TX 78539-3549
(818) 968-6260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25304
TX
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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