Organization
NIA ORTHODINTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARSHID NIA DR (ORTHODONTIC)
(512) 583-9679
Entity
Organization
Contact information
Practice address
7112 ED BLUESTEIN BLVD, 100, AUSTIN, TX 78723-2900
(512) 583-9679
(512) 334-2321
Mailing address
2621 RIDGEPOINT DR, 130, AUSTIN, TX 78754-5232
(512) 583-9679
(512) 334-2321
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0026146
TX
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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