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Organization
TARA DENTAL
Active
Organization
TARA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OM KRISHAN (MANAGER)
(713) 988-8272
Entity
Organization
Contact information
Practice address
6910 BELLAIRE BLVD, BLVD #11, HOUSTON, TX 77074-3509
(713) 988-8272
Mailing address
6910 BELLAIRE BLVD, BLVD #11, HOUSTON, TX 77074-3509
(713) 988-8272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20601
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163810801
—
TX
Enumeration date
09/13/2007
Last updated
06/17/2008
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