Organization · NPI-2
1 Stop Dentistry Meadows Place PLLC
Clinic/Center, Dental · Meadows Place, TX
NPI number1336879824
StatusActive
Last updated in NPPESJun 16, 2022
Details
- NPI
- 1336879824
- Entity type
- Organization (NPI-2)
- Legal business name
- 1 Stop Dentistry Meadows Place PLLC
- Organization subpart
- No
- Enumeration date
- Jun 16, 2022
- Certification date
- Jun 11, 2022
- Last updated
- Jun 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- 1 Stop Dentistry (Doing Business As)
Practice location
11707 W Airport BlvdSuite # 102
Meadows Place, TX 77477
Phone 832-674-0005 · Fax 866-331-2005
Mailing address
4015 Siderno DrMissouri City, TX 77459-3790
Phone 314-630-5975
Authorized official
Shirin Farhadian
Owner/Dentist
3146305975
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