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Organization
MA1HOLDINGS DBA PROACTIVE DENTAL
Active
Organization
MA1HOLDINGS DBA PROACTIVE DENTAL
Active
Other names
PROACTIVE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY JIVNANI DDS (PRESIDENT CEO)
(972) 781-1880
Entity
Organization
Contact information
Practice address
5933 DALLAS PKWY STE 100, PLANO, TX 75093-8521
(972) 781-1880
(972) 781-0588
Mailing address
5933 DALLAS PKWY STE 100, PLANO, TX 75093-8521
(972) 781-1880
(972) 781-0588
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/29/2025
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