Provider Demographics
NPI:1457494577
Name:MOGRI, ALIASGAR YUSUF (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALIASGAR
Middle Name:YUSUF
Last Name:MOGRI
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 1:17330 SPRING CYPRESS RD STE 115
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4294
Mailing Address - Country:US
Mailing Address - Phone:832-423-1345
Mailing Address - Fax:
Practice Address - Street 1:17330 SPRING CYPRESS RD STE 115
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4294
Practice Address - Country:US
Practice Address - Phone:832-423-1345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX210081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice