Provider Demographics
NPI:1699010058
Name:AFRIDI, JUNAID HAIDER (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUNAID
Middle Name:HAIDER
Last Name:AFRIDI
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 1:7002 NE ZAC LENTZ PKWY
Mailing Address - Street 2:STE B
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-3450
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7002 NE ZAC LENTZ PKWY
Practice Address - Street 2:STE B
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-3450
Practice Address - Country:US
Practice Address - Phone:361-332-4053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX284371223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics