Provider Demographics
NPI:1326326406
Name:SAFAI, AIDA (DDS)
Entity Type:Individual
Prefix:
First Name:AIDA
Middle Name:
Last Name:SAFAI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2802 CROSS TIDE LN
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4795
Mailing Address - Country:US
Mailing Address - Phone:281-993-1337
Mailing Address - Fax:
Practice Address - Street 1:1249 W BAY AREA BLVD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-3832
Practice Address - Country:US
Practice Address - Phone:281-332-6099
Practice Address - Fax:281-332-2885
Is Sole Proprietor?:No
Enumeration Date:2011-07-24
Last Update Date:2011-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27133122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist