Individual
AMIR ALL-ATABAKHSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
6302 BROADWAY ST STE 150, PEARLAND, TX 77581-7828
(281) 971-4052
Mailing address
6302 BROADWAY ST STE 150, PEARLAND, TX 77581-7828
(832) 709-2421
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
29150
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
29150
TX
Other
Enumeration date
04/04/2013
Last updated
10/19/2022
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