Basic Information
| Provider Information | |||||||||
| NPI: | 1295703759 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAFVI | ||||||||
| FirstName: | NARJIS | ||||||||
| MiddleName: | FATIMA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 761ST TANK BATTALION ST. | ||||||||
| Address2: | BLDG. 330 | ||||||||
| City: | FT HOOD | ||||||||
| State: | TX | ||||||||
| PostalCode: | 765445054 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2542852014 | ||||||||
| FaxNumber: | 2542852182 | ||||||||
| Practice Location | |||||||||
| Address1: | 761ST TANK BATTALION | ||||||||
| Address2: | BLDG. 330 | ||||||||
| City: | FORT HOOD | ||||||||
| State: | TX | ||||||||
| PostalCode: | 765445054 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2542852014 | ||||||||
| FaxNumber: | 2542852182 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/10/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | 23103 | TX | Y | Dental Providers | Dentist | General Practice |
No ID Information.