Individual
DR. PEJMAN KHOSRAVIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1920 CORPORATE DR # 107, SAN MARCOS, TX 78666-6283
(512) 722-6338
Mailing address
1920 CORPORATE DR # 107, SAN MARCOS, TX 78666-6283
(512) 722-6338
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
25269
TX
Other
Enumeration date
02/15/2007
Last updated
01/14/2021
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