Provider Demographics
NPI:1679753701
Name:PAJOOHI, BORHAN (DMD)
Entity Type:Individual
Prefix:
First Name:BORHAN
Middle Name:
Last Name:PAJOOHI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 GREENLEAF CIR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-3441
Mailing Address - Country:US
Mailing Address - Phone:214-415-9096
Mailing Address - Fax:972-276-0159
Practice Address - Street 1:100 N 11TH ST
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-6103
Practice Address - Country:US
Practice Address - Phone:972-276-0159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21587122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist