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Individual

DR. SIAVASH EFTEKHARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, M.D.

Contact information

Practice address
255 WEST LEBANON RD., SUITE 128, FRISCO, TX 75036
(817) 349-9122
(817) 500-5032
Mailing address
255 WEST LEBANON RD., SUITE 128, FRISCO, TX 75036
(817) 349-9122
(817) 500-5032

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
31061
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Q3507
TX

Other

Enumeration date
04/14/2009
Last updated
06/05/2025
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