Provider Demographics
NPI:1124038237
Name:NAJARI, MASOUD ESMAEILNIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MASOUD
Middle Name:ESMAEILNIA
Last Name:NAJARI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 E FM 544
Mailing Address - Street 2:#100
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-3450
Mailing Address - Country:US
Mailing Address - Phone:972-516-2928
Mailing Address - Fax:972-423-4511
Practice Address - Street 1:280 E FM 544
Practice Address - Street 2:#100
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-3450
Practice Address - Country:US
Practice Address - Phone:972-516-2928
Practice Address - Fax:972-423-4511
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX190841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice