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NPI Code Detail

MEDICARE: FARNAZ MAZ DINI DDS

MEDICARE:   FARNAZ MAZ DINI  DDS
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
1122300000XDentist29162TX

General Provider Information

NPI Number : 1528407541
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARNAZ MAZ DINI DDS
Provider Business Mailing Address
First Line : 2401 MAIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77002-9103
Country : US
Telephone Number : 713-517-5375
Fax Number :
Provider Business Practice Location Address
First Line : 13420 STATE HIGHWAY 249
Second Line : #B
City : HOUSTON
State : TX
Zip : 77086-3167
Country : US
Telephone Number : 281-272-0106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2013
Last Update Date : 06/24/2013

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Directions to “ FARNAZ MAZ DINI DDS” Practice Location

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