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Dr. Mina Elahidoust, DDS

Dentist in League City, TX. Individual provider (NPI-1).

NPI number1720719677
StatusActive
Last updated in NPPESJun 21, 2022

Details

NPI
1720719677
Entity type
Individual (NPI-1)
Name
Dr. Mina Elahidoust
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Jun 21, 2022
Certification date
Jun 21, 2022
Last updated
Jun 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist38554TXYes

Practice location

2750 W Main St Ste D
League City, TX 77573-1830

Phone 281-554-9090

Mailing address

114 Lake Bridge Ln
League City, TX 77573-1879

Phone 832-315-1051

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