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NPI Code Detail

MEDICARE: ALI DANESHMAND D.D.S

MEDICARE: ALI DANESHMAND D.D.S
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
1122300000XDentist56062CA
2122300000XDentist24270TX

General Provider Information

NPI Number : 1366637662
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI DANESHMAND D.D.S
Provider Business Mailing Address
First Line : 5177 RICHMOND AVE
Second Line : SUITE 150
City : HOUSTON
State : TX
Zip : 77056-6707
Country : US
Telephone Number : 949-280-8731
Fax Number :
Provider Business Practice Location Address
First Line : 5177 RICHMOND AVE
Second Line : SUITE 150
City : HOUSTON
State : TX
Zip : 77056-6707
Country : US
Telephone Number : 949-280-8731
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2007
Last Update Date : 01/14/2013

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Directions to “ ALI DANESHMAND D.D.S” Practice Location

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