Provider Demographics
NPI:1508131715
Name:DENTAL BRIGHT
Entity Type:Organization
Organization Name:DENTAL BRIGHT
Other - Org Name:DENTAL BRIGHT PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:FALAHAT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-783-6060
Mailing Address - Street 1:5711 HILLCROFT AVE
Mailing Address - Street 2:SUITE A2
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:713-783-6060
Mailing Address - Fax:713-783-6069
Practice Address - Street 1:5711 HILLCROFT AVE
Practice Address - Street 2:SUITE A2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036
Practice Address - Country:US
Practice Address - Phone:713-783-6060
Practice Address - Fax:713-783-6069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX189231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty