Khosravian, Pedram

Khosravian, Pedram is an individual health care provider with primary practice located at 1920 Corporate Dr. Ste 107A , San Marcos TX 78666. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Khosravian, Pedram can be contacted via phone (512) 722-6338.

Contact Information

Primary practice address
1920 Corporate Dr. Ste 107A San Marcos TX 78666
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 58700 California
Dental Providers / Endodontics 1223E0200X 25904 Texas
Dental Providers / General Practice 1223G0001X 25904 Texas

Profile Details

NPI number 1770716243
LBN Legal business name Khosravian, Pedram
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2009
Last updated Dec 13th, 2013 - about 11 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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