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Individual

KAVEH NAJIBFARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
18726 KEEGANS BLF, SAN ANTONIO, TX 78258-4255
(818) 914-9951
Mailing address
18726 KEEGANS BLF, SAN ANTONIO, TX 78258-4255

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
29918
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
29918
TX

Other

Enumeration date
02/28/2015
Last updated
02/08/2022
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