Provider Demographics
NPI:1790966703
Name:SINA DENTAL
Entity Type:Organization
Organization Name:SINA DENTAL
Other - Org Name:DR H DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMIDFAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-693-8080
Mailing Address - Street 1:7912 SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-2844
Mailing Address - Country:US
Mailing Address - Phone:972-404-0000
Mailing Address - Fax:972-404-0005
Practice Address - Street 1:7912 SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-2844
Practice Address - Country:US
Practice Address - Phone:972-404-0000
Practice Address - Fax:972-404-0005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX216461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty