Provider Demographics
NPI:1992130975
Name:EFTEKHARI, SOLMAZ (DDS)
Entity type:Individual
Prefix:DR
First Name:SOLMAZ
Middle Name:
Last Name:EFTEKHARI
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 1:5000 WESTHEIMER RD STE 630
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-5619
Mailing Address - Country:US
Mailing Address - Phone:713-255-0780
Mailing Address - Fax:713-255-0781
Practice Address - Street 1:5000 WESTHEIMER RD STE 630
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5619
Practice Address - Country:US
Practice Address - Phone:713-255-0780
Practice Address - Fax:713-255-0781
Is Sole Proprietor?:No
Enumeration Date:2013-09-09
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX289541223G0001X
WADE60450885122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Yes1223G0001XDental ProvidersDentistGeneral Practice