Provider Demographics
NPI:1780843904
Name:BRITER DENTAL
Entity Type:Organization
Organization Name:BRITER DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ZAHRA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:ALVANDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-492-8900
Mailing Address - Street 1:1744 FRY RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-5801
Mailing Address - Country:US
Mailing Address - Phone:281-492-8900
Mailing Address - Fax:281-492-9337
Practice Address - Street 1:1744 FRY RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5801
Practice Address - Country:US
Practice Address - Phone:281-492-8900
Practice Address - Fax:281-492-9337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX190681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163979101Medicaid