Organization
KIAN NIKDEL DDS MSD PLLC
Active
Other names
Lake Jackson Root canal Specialists, Lake Jackson Root Canal Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIAN NIKDEL DDS MSD (MANAGING DIRECTOR)
(832) 762-5072
Entity
Organization
Contact information
Practice address
115 N DIXIE DR STE 200, LAKE JACKSON, TX 77566-5958
(979) 236-4222
Mailing address
115 N DIXIE DR STE 200, LAKE JACKSON, TX 77566-5958
(979) 297-0633
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
32482
TX
Other
Enumeration date
07/04/2017
Last updated
07/21/2022
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