| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MAHMOUD IRANNEZHAD | 1841852910 | 2021-02-13 |
Mahmoud Irannezhad is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1841852910. Registration indicates Mahmoud Irannezhad is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
| Entity Type | Individual |
| Provider Name | Dr. Mahmoud Irannezhad DDS |
| Practice Office Address | 1805 W WHITE OAK TER STE A CONROE, TX US |
| Practice Office Telephone | 9365884433 |
| Mailing Address | 1805 W WHITE OAK TER STE A CONROE, TX 773043456 US |
| Business Telephone | 9365884433 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1601 Forest Trl | Temple, TX 765022715 | 2547783002 |
| Code | Practice | License No State |
|---|---|---|
| 122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 35347
TX |