Provider Demographics
NPI:1528170917
Name:SEPEHRIPOUR NARAGHI, BEHNAZ (DDS)
Entity type:Individual
Prefix:DR
First Name:BEHNAZ
Middle Name:
Last Name:SEPEHRIPOUR NARAGHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2455 DUNSTAN RD APT 574
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2320
Mailing Address - Country:US
Mailing Address - Phone:818-554-5200
Mailing Address - Fax:
Practice Address - Street 1:18851 UNIVERSITY BLVD STE 210
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6818
Practice Address - Country:US
Practice Address - Phone:185-554-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42224122300000X
TX34988122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist