Individual
KIAN DAGHIGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
111 S PRESTON RD STE 50, PROSPER, TX 75078-8884
(415) 573-4834
Mailing address
111 S PRESTON RD STE 50, PROSPER, TX 75078-8884
(415) 573-4834
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30692
TX
1223G0001X
General Practice Dentistry
58407
CA
Other
Enumeration date
07/06/2009
Last updated
10/13/2015
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