Provider Demographics
NPI:1669671582
Name:NOOSHEI P.A.
Entity Type:Organization
Organization Name:NOOSHEI P.A.
Other - Org Name:SABET DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOOSHIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:ESPILI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-948-5638
Mailing Address - Street 1:1819 BROADWAY ST STE 105
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-5671
Mailing Address - Country:US
Mailing Address - Phone:281-648-4000
Mailing Address - Fax:281-648-4001
Practice Address - Street 1:1819 BROADWAY ST STE 105
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5671
Practice Address - Country:US
Practice Address - Phone:281-648-4000
Practice Address - Fax:281-648-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX181181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty