Organization
JAK DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMID KASHANI DDS (MEMBER)
(949) 413-4940
Entity
Organization
Contact information
Practice address
10121 LAKE JUNE RD, 118, DALLAS, TX 75217-3002
(949) 413-4940
Mailing address
3110 THOMAS AVE, 339, DALLAS, TX 75204-2729
(949) 413-4940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24349
TX
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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