Provider Demographics
NPI:1750738183
Name:BEE CAVE SOFT TOUCH DENTAL PLLC
Entity type:Organization
Organization Name:BEE CAVE SOFT TOUCH DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PEJMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHOSRAVIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-722-6338
Mailing Address - Street 1:12400 W HWY 71 STE 320
Mailing Address - Street 2:
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-6504
Mailing Address - Country:US
Mailing Address - Phone:512-271-6600
Mailing Address - Fax:
Practice Address - Street 1:12400 W HWY 71 STE 320
Practice Address - Street 2:
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-6504
Practice Address - Country:US
Practice Address - Phone:512-271-6600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty