Organization
FONDREN DENTAL PA
Active
Other names
FONDREN FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAZA RAHGOZARD (DENTIST)
(210) 777-1225
Entity
Organization
Contact information
Practice address
3400 FONDREN RD, HOUSTON, TX 77063
(281) 974-3850
Mailing address
3400 FONDREN RD, HOUSTON, TX 77063-5650
(281) 974-3850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29010
TX
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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