Individual
BANAN MOGHRABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3055 SAGE RD STE 190, HOUSTON, TX 77056-6314
(713) 623-6622
Mailing address
3055 SAGE RD STE 190, HOUSTON, TX 77056-6314
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
21164
TX
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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