Individual
DR. CHEESTA DAFTARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2710 OSLER BLVD, BRYAN, TX 77802-2517
(979) 776-2277
(979) 776-2271
Mailing address
2710 OSLER BLVD, BRYAN, TX 77802-2517
(979) 776-2277
(979) 776-2271
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20483
TX
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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