Organization
AMIRALI TAHBAZ DDS LLC
Active
Other names
Luv Braces
Organization subpart
No
Provider details
NPI number
Authorized official
AMIRALI TAHBAZ DDS (MEMBER)
(702) 526-6711
Entity
Organization
Contact information
Practice address
1700 W PARMER LN, SUITE 250, AUSTIN, TX 78727-4604
(512) 387-0097
Mailing address
1300 E RIVERSIDE DR, APT C204, AUSTIN, TX 78741-1108
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
28708
TX
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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