Organization
NEIGHBORHOOD DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMADREZA DEHGHANY DMD (DENTIST)
(972) 712-9595
Entity
Organization
Contact information
Practice address
6803 PRESTON RD, UNIT 122, FRISCO, TX 75034-5823
(972) 712-9595
(972) 712-9594
Mailing address
6803 PRESTON RD, UNIT 122, FRISCO, TX 75034-5823
(972) 712-9595
(972) 712-9594
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22430
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175645405
—
TX
Enumeration date
07/02/2008
Last updated
07/02/2008
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