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Individual

BOBBY HASSANZADEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2711 W GREEN OAKS BLVD, ARLINGTON, TX 76016-1671
(817) 451-9292
(817) 451-3137
Mailing address
2711 W GREEN OAKS BLVD, ARLINGTON, TX 76016-1671
(817) 451-9292
(817) 451-3137

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16838
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1730265968
NPI NUMBER FOR ORGANIZATION
TX
Enumeration date
03/20/2014
Last updated
03/20/2014
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