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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IDA ETTEHADIEH, DMD

Active Sole Proprietor

IDA ETTEHADIEH, DMD is a Dentist healthcare provider located in HOUSTON, Texas. NPI 1194378141 is currently active in the NPPES registry. Verify at CMS.

Dentist · HOUSTON, TX

Registration Details

NPI Number
1194378141
Provider Type
Individual
Gender
Female
NPI Issued
Jul 18, 2019 (7.0630320787253 yrs)
Last Updated
Jul 18, 2019
License
35400 (TX)
Sole Proprietor
Yes

Practice Information

Address
4310 MOUNTAIN FLOWER CT
HOUSTON, TX, 770595528
Browse TX providers · Browse ZIP 77059
Phone
2817055667
Primary Specialty
Dentist
122300000X

Other Dentist Providers in HOUSTON, TX

Name Credential NPI
DR. JULIA ALLISON PRYZANT DDS 1568465029
DR. FARNAM H FARZAM M.S., D.D.S.,P.A. 1619972080
DR. TIMOTHY PAUL BROWN D.D.S. 1992700835
DR. JAMES M KING DDS 1851399091
ALBERT HENRY TURNER D.D.S. 1548269376
DR. JUDITH MABRITO DDS 1831182211
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.