Provider Demographics
NPI:1356564587
Name:MAHNAZ MESSKOUB DDS, MS, PA
Entity type:Organization
Organization Name:MAHNAZ MESSKOUB DDS, MS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSKOUB
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-932-7730
Mailing Address - Street 1:9400 WESTHEIMER RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3467
Mailing Address - Country:US
Mailing Address - Phone:713-932-7730
Mailing Address - Fax:713-932-7244
Practice Address - Street 1:9400 WESTHEIMER RD
Practice Address - Street 2:SUITE 1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3467
Practice Address - Country:US
Practice Address - Phone:713-932-7730
Practice Address - Fax:713-932-7244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty