Individual
DELARAM MOSTAFAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3200 N MACARTHUR BLVD, IRVING, TX 75062-4404
(972) 252-1600
Mailing address
3883 TURTLE CREEK BLVD APT 1704, DALLAS, TX 75219-4465
(214) 843-5517
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
35374
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
35374
TX
Other
Enumeration date
08/31/2020
Last updated
11/04/2024
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