Individual
BEHNOUSH BAKHTIARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3821 PARKMONT DR, PLANO, TX 75023-1044
(760) 799-8496
Mailing address
3821 PARKMONT DR, PLANO, TX 75023-1044
(760) 799-8496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7645
NE
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
40176
TX
Other
Enumeration date
08/19/2020
Last updated
01/30/2024
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