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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
SILVIA DIAZ (PPO COORDINATOR)
(714) 480-3000
Entity
Organization
Contact information
Practice address
7970 FREDERICKSBURG RD, SUITE 105, SAN ANTONIO, TX 78229-3890
(210) 248-0385
(210) 248-0394
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
Enumeration date
04/13/2012
Last updated
04/13/2012
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