Behzadi, Mitra
Behzadi, Mitra is an sole proprietor health care provider with primary practice located at 5416 Basswood Blvd , Fort Worth TX 76137-4400. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Behzadi, Mitra can be contacted via phone (817) 656-1215.Contact Information
Primary practice address
5416 Basswood Blvd
Fort Worth TX 76137-4400
Phone: (817) 656-1215
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 32045 | Texas |
Profile Details
| NPI number | 1225582000 |
|---|---|
| LBN Legal business name | Behzadi, Mitra |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2016 |
| Last updated | Apr 5th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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