Individual
SID POORYA JALALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3302 GASTON AVE, BAYLOR COLLEGE OF DENTISTRY, DEPARTMENT OF ENDODONTICS, DALLAS, TX 75246-2013
(214) 828-8365
Mailing address
3302 GASTON AVE, BAYLOR COLLEGE OF DENTISTRY, DEPARTMENT OF ENDODONTICS, DALLAS, TX 75246-2013
(214) 828-8365
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
31526
TX
Other
Enumeration date
01/03/2016
Last updated
01/03/2016
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