Provider Demographics
NPI:1821263187
Name:TSENG, MAHNAZ HAGHIRI (DDS)
Entity Type:Individual
Prefix:DR
First Name:MAHNAZ
Middle Name:HAGHIRI
Last Name:TSENG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2936 VALLEY VIEW LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-4929
Mailing Address - Country:US
Mailing Address - Phone:214-862-6777
Mailing Address - Fax:214-241-1515
Practice Address - Street 1:2936 VALLEY VIEW LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-4929
Practice Address - Country:US
Practice Address - Phone:214-862-6777
Practice Address - Fax:214-241-1515
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23602122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist