MEDICARE: VOSS DENTAL PC

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
1	122300000X	Dentist

General Provider Information

NPI Number	:	1922663459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOSS DENTAL PC

Provider Business Mailing Address
First Line	:	9400 WESTHEIMER RD STE 1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-3468
Country	:	US
Telephone Number	:	713-322-8812
Fax Number	:	713-714-3434

Provider Business Practice Location Address
First Line	:	9400 WESTHEIMER RD STE 1
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-3468
Country	:	US
Telephone Number	:	713-322-8812
Fax Number	:	713-714-3434

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MOHAMMAD MOHSEN KHOBYARI
Credential	:	DDS
Telephone Number	:	713-322-8812

Provider Enumeration Date	:	05/09/2019
Last Update Date	:	05/09/2019

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