Provider Demographics
NPI:1366743247
Name:MOMIN, NILOFAR KARIM (DDS)
Entity type:Individual
Prefix:
First Name:NILOFAR
Middle Name:KARIM
Last Name:MOMIN
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 1:6834 PRESTON GROVE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-1415
Mailing Address - Country:US
Mailing Address - Phone:832-212-2580
Mailing Address - Fax:
Practice Address - Street 1:2400 FM 2920 RD STE 150A
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3674
Practice Address - Country:US
Practice Address - Phone:281-353-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX260311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice