Individual
KAVEH MABOUDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12817 PRESTON RD, SUITE 130, DALLAS, TX 75230-1360
(972) 991-0700
(972) 991-0727
Mailing address
12817 PRESTON RD, SUITE 130, DALLAS, TX 75230-1360
(972) 991-0700
(972) 991-0727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18037
TX
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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