Organization
DENTAL LAND PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIROUS RASTI (MANAGER)
(713) 434-6170
Entity
Organization
Contact information
Practice address
2525 SOUTHMORE AVE # SITE200, PASADENA, TX 77502-1451
(713) 434-6170
(713) 434-6189
Mailing address
2525 SOUTHMORE AVE # SITE200, PASADENA, TX 77502-1451
(713) 434-6170
(713) 434-6189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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