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NPI Code Detail

MEDICARE: GELAREH ARYAFAR DMD

MEDICARE: GELAREH ARYAFAR DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry35789TX
21223P0221XPediatric Dentistry107478CA

General Provider Information

NPI Number : 1760026579
Entity Type Code : Individual
Provider Name (Legal Business Name) : GELAREH ARYAFAR DMD
Provider Business Mailing Address
First Line : 2724 KIPLING ST APT 739
Second Line :
City : HOUSTON
State : TX
Zip : 77098-1774
Country : US
Telephone Number : 617-755-1027
Fax Number :
Provider Business Practice Location Address
First Line : 11020 AIRLINE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77037-1112
Country : US
Telephone Number : 281-272-1959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2019
Last Update Date : 05/22/2025

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Directions to “ GELAREH ARYAFAR DMD” Practice Location

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