Khademazad, Behrooz
Khademazad, Behrooz is an sole proprietor health care provider with primary practice located at 2475 W Pioneer Pkwy , Grand Prairie TX 75051-3527. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Khademazad, Behrooz can be contacted via phone (972) 988-0900.Contact Information
Primary practice address
2475 W Pioneer Pkwy
Grand Prairie TX 75051-3527
Phone: (972) 988-0900
Fax: (972) 660-1167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 15515 | Texas |
Profile Details
| NPI number | 1811163892 |
|---|---|
| LBN Legal business name | Khademazad, Behrooz |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2008 |
| Last updated | Apr 30th, 2008 - about 16 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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