Individual
GHAZAL REZAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3302 GASTON AVE, DALLAS, TX 75246-2013
(214) 828-8100
Mailing address
2650 CEDAR SPRINGS RD APT 5530, DALLAS, TX 75201-1477
(702) 858-9988
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
40283
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2023
Last updated
10/23/2024
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