Individual
GHAZALEH PEIRAVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2506 JORDAN RANCH BLVD STE 2, FULSHEAR, TX 77423-3226
(281) 699-5588
Mailing address
2506 JORDAN RANCH BLVD STE 2, FULSHEAR, TX 77423-3226
(281) 699-5588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
39245
TX
1223P0221X
Pediatric Dentistry
Primary
39245
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
02/01/2021
Last updated
05/08/2026
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