Individual
DR. FATEMEH EBRAHIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6430 RICHMOND AVE STE 110, HOUSTON, TX 77057
(713) 779-2273
Mailing address
3100 CHIMNEY ROCK RD STE A2, HOUSTON, TX 77056-6202
(832) 382-5626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19864
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007804002
—
TX
05
—
007804004
—
TX
Enumeration date
05/07/2007
Last updated
04/05/2024
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