Organization
KBK GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARAREH PISHEH DDS (CEO)
(832) 596-7312
Entity
Organization
Contact information
Practice address
13080 VETERANS MEMORIAL DR, HOUSTON, TX 77014-1902
(832) 596-7312
Mailing address
13080 VETERANS MEMORIAL DR, HOUSTON, TX 77014-1902
(832) 596-7312
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821434978
—
TX
Enumeration date
08/08/2024
Last updated
08/08/2024
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