Organization
GHAZALEH PEIRAVANI DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHAZALEH PEIRAVANI (OWNER / DENTIST)
(949) 702-3134
Entity
Organization
Contact information
Practice address
5304 DECKER DR,, BAYTOWN, TX 77520
(949) 702-3134
(281) 428-7176
Mailing address
5304 DECKER DR,, BAYTOWN, TX 77520
(949) 702-3134
(281) 428-7176
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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