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NPI 1457769325 · live from the CMS NPI Registry

Amirali Tahbaz DDS LLC

Dentist, Orthodontics and Dentofacial Orthopedics in Austin, TX. National Provider Identifier 1457769325, active.

NPI record

NPI1457769325 Type 2 · organization
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location1700 W Parmer Ln, Suite 250, Austin, TX 78727
Practice phone512-387-0097
Mailing address1300 E Riverside Dr, Apt C204, Austin, TX 78741
EnumeratedJuly 23, 2014
Last updatedJuly 23, 2014
Authorized officialAmirali Tahbaz, Member
Other namesLuv Braces

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400X28708 (TX)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.