Organization
AMIRALI TAHBAZ DDS LLC
Active
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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