Individual
DR. AZADEH KHORRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9801 BISSONNET ST STE K, HOUSTON, TX 77036-8224
(832) 831-9101
Mailing address
3660 RICHMOND AVE APT 420, HOUSTON, TX 77046-3608
(832) 324-5434
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34654
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34654
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
10/23/2018
Last updated
10/23/2018
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