Individual
BAHARAK ESHGHIPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 N CONWAY AVE, MISSION, TX 78572-4008
(956) 519-9398
Mailing address
1609 N CONWAY AVE, MISSION, TX 78572-4008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38163
TX
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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