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Organization

DENTVANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BAHMAN HAKIM (DENTIST)
(818) 857-6020
Entity
Organization

Contact information

Practice address
5438 NORTH FWY, HOUSTON, TX 77076-4701
(818) 996-2080
Mailing address
5438 NORTH FWY, HOUSTON, TX 77076-4701
(818) 996-2080

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28644
TX
122300000X
Dentist
61562
CA

Other

Enumeration date
09/17/2012
Last updated
03/07/2013
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