Poorang Pahlavan DDS PLLC
Dentist, General Practice in Houston, TX. Organization (NPI-2).
NPI number1154888097
StatusActive
Last updated in NPPESFeb 27, 2019
Details
- NPI
- 1154888097
- Entity type
- Organization (NPI-2)
- Legal business name
- Poorang Pahlavan DDS PLLC
- Organization subpart
- No
- Enumeration date
- Feb 27, 2019
- Last updated
- Feb 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Smile Barn Dental (Doing Business As)
Practice location
10815 Veterans Memorial Dr Ste 1000Houston, TX 77067-3888
Phone 281-529-6266 · Fax 281-529-6267
Mailing address
10815 Veterans Memorial Dr Ste 1000Houston, TX 77067-3888
Phone 281-529-6266 · Fax 281-529-6267
Authorized official
Poorang Pahlavan
Owner
2815296266
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