Individual
DR. HIDAYATULLA R NAGORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.D.S, MPA, C.A.G.S
Contact information
Practice address
1400 GUADALUPE ST, SUIT # A, LAREDO, TX 78040-5315
(956) 568-5537
Mailing address
31480 CONCORD DR APT F, MADISON HEIGHTS, MI 48071-1731
(216) 835-1165
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30571
TX
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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