Organization
PEJMAN KHOSRAVIAN P.C
Active
Other names
San Marcos Root Canal Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEJMAN KHOSRAVIAN D.M.D (OWNER)
(512) 722-6338
Entity
Organization
Contact information
Practice address
1920 CORPORATE DR # 107A, SAN MARCOS, TX 78666-6077
(512) 722-6338
Mailing address
1920 CORPORATE DR # 107A, SAN MARCOS, TX 78666-6077
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
25269
TX
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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