Organization
DEEP SEA DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHROUZ AKHAVAN (MEMBER)
(956) 380-2482
Entity
Organization
Contact information
Practice address
603 SOUTH EXPRESSWAY 83, SUITE H2, HARLINGEN, TX 78550
(956) 380-2482
Mailing address
307 E UNIVERSITY DR, EDINBURG, TX 78539-3549
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
07/15/2024
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