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Organization

BABAK GORAVANCHI DDS PA

Active
Other names
Premier Dental Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BABAK GORAVANCHI DDS (OWNER)
(713) 446-8547
Entity
Organization

Contact information

Practice address
1013 DAIRY ASHFORD RD, HOUSTON, TX 77079-4602
(713) 446-8547
Mailing address
1013 DAIRY ASHFORD RD, HOUSTON, TX 77079-4602
(713) 446-8547

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21389
TX

Other

Enumeration date
02/24/2016
Last updated
03/17/2016
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