Organization
ADVANT DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOJAN E SAFAVI DDS (PRESIDENT)
(972) 346-2992
Entity
Organization
Contact information
Practice address
1550 S CUSTER RD, SUITE 100, MCKINNEY, TX 75070-6433
(972) 346-2992
Mailing address
1550 S. CUSTER RD., SUITE 100, MCKINNEY, TX 75070
(972) 346-2992
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
21289
TX
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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