Provider Demographics
NPI:1457099517
Name:ELEGANT DENTAL SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:ELEGANT DENTAL SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOIZ
Authorized Official - Middle Name:U
Authorized Official - Last Name:HORANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-709-3734
Mailing Address - Street 1:1023 WILLIAMS LAKE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-4295
Mailing Address - Country:US
Mailing Address - Phone:310-709-3734
Mailing Address - Fax:
Practice Address - Street 1:6350 HIGHWAY 90A STE 500
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-2022
Practice Address - Country:US
Practice Address - Phone:281-565-8880
Practice Address - Fax:281-565-8882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental