Individual
FAZALUR REHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17814 SPRING CYPRESS RD STE 101, CYPRESS, TX 77429-6290
(281) 304-1319
Mailing address
11426 JONSTONE PAISLEY CT, RICHMOND, TX 77407-2178
(832) 276-5698
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34474
TX
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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