Organization
BAHARLOO AND FARZAM DDS PA
Active
Other names
baharloo and farzam dds pa
Organization subpart
No
Provider details
NPI number
Authorized official
REZA BAHARLOO DDS (DENTIST)
(713) 695-8188
Entity
Organization
Contact information
Practice address
5516 AIRLINE DR, 5516 AIRLINE DR, HOUSTON, TX 77076-4904
(713) 695-8188
(713) 695-8191
Mailing address
5516 AIRLINE DR, 5516 AIRLINE DR, HOUSTON, TX 77076-4904
(713) 695-8188
(713) 695-8191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
18688
TX
1223G0001X
General Practice Dentistry
Primary
19027
TX
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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