Organization
ALL DENTAL
Active
Other names
All Dental P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIR IZADDOUST D.D.S (OWNER)
(972) 386-4999
Entity
Organization
Contact information
Practice address
5365 SPRING VALLEY RD, #130, DALLAS, TX 75254-3097
(972) 386-4999
(972) 386-4964
Mailing address
5365 SPRING VALLEY RD, #130, DALLAS, TX 75254-3097
(972) 386-4999
(972) 386-4964
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20873
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166977201
—
TX
Enumeration date
01/13/2012
Last updated
01/13/2012
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