Provider Demographics
NPI:1922663459
Name:VOSS DENTAL PC
Entity Type:Organization
Organization Name:VOSS DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:MOHSEN
Authorized Official - Last Name:KHOBYARI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-322-8812
Mailing Address - Street 1:9400 WESTHEIMER RD STE 1
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3468
Mailing Address - Country:US
Mailing Address - Phone:713-322-8812
Mailing Address - Fax:713-714-3434
Practice Address - Street 1:9400 WESTHEIMER RD STE 1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3468
Practice Address - Country:US
Practice Address - Phone:713-322-8812
Practice Address - Fax:713-714-3434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty