Organization
LA PORTE FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIEVA MOLAVI D.D.S (DENTIST)
(281) 542-9772
Entity
Organization
Contact information
Practice address
8401 W FAIRMONT PKWY, LA PORTE, TX 77571-4418
(281) 542-9772
(281) 542-9774
Mailing address
8401 W FAIRMONT PKWY, LA PORTE, TX 77571-4418
(281) 542-9772
(281) 542-9774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27316
TX
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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