Provider Demographics
NPI:1326377219
Name:PERFECT DENTAL P.A.
Entity Type:Organization
Organization Name:PERFECT DENTAL P.A.
Other - Org Name:PERFECT DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SABETI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-359-3636
Mailing Address - Street 1:4114 AVENUE H
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-2833
Mailing Address - Country:US
Mailing Address - Phone:281-232-6610
Mailing Address - Fax:281-232-6612
Practice Address - Street 1:4114 AVENUE H
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-2833
Practice Address - Country:US
Practice Address - Phone:281-232-6610
Practice Address - Fax:281-232-6612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX173001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty