Ffarzamllc

NPI #1659911196 in Cypress, Texas

Provider Information

NPI Number: 1659911196
Entity Type: Organization
Organization Name: Ffarzamllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 13, 2020
Last Updated: Jan 13, 2020

Practice Location

Address: 12430 GRANT ROAD
Address 2: SUITE C
City: Cypress
State: Texas
ZIP Code: 77429
Phone: (832) 418-6816

Authorized Official

Name: DR. FARNAM H FARZAM, DDS
Title: OFFICER/MANAGER
Phone: (832) 610-0428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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