Tabatabai, Mina

Tabatabai, Mina is an individual health care provider with primary practice located at 7700 Fulton St Ste A , Houston TX 77022-3642. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Tabatabai, Mina can be contacted via phone (832) 422-5792.

Contact Information

Primary practice address
7700 Fulton St Ste A Houston TX 77022-3642
Phone: (832) 422-5792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DEN1001270 District of Columbia
Dental Providers / General Practice 1223G0001X 15451 Maryland
Dental Providers / Pediatric Dentistry 1223P0221X 29859 Texas

Profile Details

NPI number 1225470206
LBN Legal business name Tabatabai, Mina
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2013
Last updated May 10th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225470206 NPPES
Texas MEDICAID 353682310

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