Individual
ELHAM ELLIE IGHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
817 W PIONEER PKWY, SUITE 150, GRAND PRAIRIE, TX 75051
(972) 602-2000
(972) 602-2062
Mailing address
817 W PIONEER PKWY, PERLA DENTAL GP SUITE 150, GRAND PRAIRIE, TX 75051
(972) 602-2000
(972) 602-2062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23875
TX
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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