Individual
AMIRALI TAHBAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1700 W PARMER LN, SUITE 250, AUSTIN, TX 78727-4604
(702) 526-6711
Mailing address
1700 W PARMER LN STE 250, AUSTIN, TX 78727-4609
(512) 351-8362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6088
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
28708
TX
Other
Enumeration date
10/14/2010
Last updated
07/15/2025
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