Individual
DR. BEHROOZ KHADEMAZAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2475 W PIONEER PKWY, GRAND PRAIRIE, TX 75051-3527
(972) 988-0900
(972) 660-1167
Mailing address
2475 W PIONEER PKWY, GRAND PRAIRIE, TX 75051-3527
(972) 988-0900
(972) 660-1167
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15515
TX
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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