Altus Dental P.a.

Organization Active NPI General Practice Dentistry · Baytown, TX

NPI 1659610020 · NPPES record last updated Feb 5, 2013

Key facts

NPI
1659610020
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
20196 (TX)
Legal business name
ALTUS DENTAL P.A.
Practice address
4508 Garth Rd
Suite#a
Baytown, TX 77521-2154
Phone
(281) 427-5100
NPI assigned
Feb 5, 2013
Organization subpart
No

Authorized official

Name
Dr. Soroush Esfandiari, D.D.S
Title
Director
Phone
(713) 667-9311

National Provider Directory

Locations

4508 Garth Rd
Baytown, TX 77521
Phone (281) 427-5100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X 20196 TX Yes

Addresses

Primary practice location

4508 Garth Rd
Suite#a
Baytown, TX 77521-2154

Mailing address

11233 Shadow Creek Pkwy
Suite #313
Pearland, TX 77584-7345

Other names

  • Altus Dental Doing business as

Other providers in Baytown, TX

All providers in Baytown, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.