Organization
DENTAL LAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRAN HOSSEINI DDS (DENTIST)
(832) 831-2301
Entity
Organization
Contact information
Practice address
3514 BURKE RD, SUITE 100, PASADENA, TX 77504
(832) 831-2301
Mailing address
3514 BURKE RD, PASADENA, TX 77504
(832) 831-2301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24910
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206191301
—
TX
Enumeration date
04/05/2013
Last updated
12/09/2013
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