Individual
DR. ALI Z. JAHANBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
810 CALDWELL ST, BUILDING A, SUITE 300, MANOR, TX 78653-3360
(512) 272-8900
(512) 272-8915
Mailing address
810 CALDWELL ST, BUILDING A, SUITE 300, MANOR, TX 78653-3360
(512) 272-8900
(512) 272-8915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18639
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174254601
—
TX
05
—
179956101
—
TX
Enumeration date
01/18/2007
Last updated
11/15/2021
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