# GANESHAPARSHWA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Justin Dental and Braces
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043783152
- **Authorized official:** MARITZA DURAN (DELEGATED OFFICIAL)
- **Authorized official phone:** (516) 229-1441

## Contact information

- **Practice address:** 815 W 1ST ST STE B, JUSTIN, TX 76247-9618
- **Practice address phone:** (940) 242-2022
- **Practice address fax:** (940) 242-2333
- **Mailing address:** 815 W 1ST ST STE B, JUSTIN, TX 76247-9618
- **Mailing address phone:** (940) 242-2022
- **Mailing address fax:** (940) 242-2333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2019
- **Last updated:** 01/10/2019