Organization
ADVANT DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOJAN E SAFAVI DDS (PRESIDENT)
(972) 346-2992
Entity
Organization
Contact information
Practice address
1550 S CUSTER RD STE 100, MCKINNEY, TX 75070-6435
(972) 346-2992
(972) 347-9960
Mailing address
5729 LEBANON RD STE 144, BOX 347, FRISCO, TX 75034-7259
(972) 346-2992
(972) 347-9960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21289
TX
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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