Organization
STAFFORD FAMILY DENTIST
Active
Other names
Stafford Family Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK GORAVANCHI D.D.S. (OWNER)
(281) 564-0117
Entity
Organization
Contact information
Practice address
11753 W BELLFORT ST, 116, STAFFORD, TX 77477-1327
(281) 564-0117
(281) 564-0132
Mailing address
11753 W BELLFORT ST, 116, STAFFORD, TX 77477-1327
(281) 564-0117
(281) 564-0132
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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