Organization
MIA ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIREZA HOURFAR DDS MS (ORTHODONTIST OWNER)
(310) 616-6888
Entity
Organization
Contact information
Practice address
3636 GREENBRIAR DR STE 101A, HOUSTON, TX 77098-2244
(310) 616-6888
Mailing address
3636 GREENBRIAR DR STE 101A, HOUSTON, TX 77098-2244
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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