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Organization
SOUMAVA SEN, DDS, P.C.
Active
Organization
SOUMAVA SEN, DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRISEIDA CURIEL (PPO COORDINATOR)
(714) 480-3000
Entity
Organization
Contact information
Practice address
4511 WESTERN CENTER BLVD, FORT WORTH, TX 76137-2628
(817) 585-2483
(817) 585-2484
Mailing address
530 S MAIN ST, ORANGE, CA 92868-4525
(714) 480-3000
(714) 571-6445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G60850-
—
TX
Enumeration date
11/12/2012
Last updated
11/12/2012
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