Organization
FFARZAMLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARNAM H FARZAM DDS (OFFICER/MANAGER)
(832) 610-0428
Entity
Organization
Contact information
Practice address
12430 GRANT ROAD, SUITE C, CYPRESS, TX 77429
(832) 418-6816
Mailing address
12430 GRANT ROAD, SUITE C, CYPRESS, TX 77429
(832) 418-6816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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