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Organization

CLEAR LAKE ORAL AND MAXILLOFACIAL SURGEYY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GHOLAM REZA ZAKHIREH DMD (MANAGER/PRESIDENT)
(281) 338-7700
Entity
Organization

Contact information

Practice address
17448 HIGHWAY 3 STE 170, WEBSTER, TX 77598-4139
(281) 338-7700
(281) 338-7703
Mailing address
17448 HIGHWAY 3 STE 170, WEBSTER, TX 77598-4139
(281) 338-7700
(281) 338-7703

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13577
TX

Other

Enumeration date
08/27/2012
Last updated
08/27/2012
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