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Individual

DR. HAMID YAZDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
9415 W STATE HIGHWAY 29, GEORGETOWN, TX 78628-6914
(512) 930-4040
(512) 930-3070
Mailing address
9415 W STATE HIGHWAY 29, GEORGETOWN, TX 78628-6914
(512) 930-4040
(512) 930-3070

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22093
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174364302
TX
Enumeration date
10/16/2006
Last updated
10/13/2011
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