Organization
ALTUS DENTAL P.A.
Active
Other names
Altus Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOROUSH ESFANDIARI D.D.S (DIRECTOR)
(713) 667-9311
Entity
Organization
Contact information
Practice address
4508 GARTH RD, SUITE#A, BAYTOWN, TX 77521-2154
(281) 427-5100
Mailing address
11233 SHADOW CREEK PKWY, SUITE #313, PEARLAND, TX 77584-7345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20196
TX
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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