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Organization
K&H DENTAL PA
Active
Organization
K&H DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMEET SINGH MALHOTRA (OWNER)
(617) 412-0792
Entity
Organization
Contact information
Practice address
1808 CHICO HIGHWAY, BRIDGEPORT, TX 76426
(940) 683-3233
Mailing address
1808 CHICO HIGHWAY, BRIDGEPORT, TX 76426
(940) 683-3233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26104
TX
261QD0000X
Dental Clinic/Center
26104
TX
Other
Enumeration date
12/11/2014
Last updated
12/19/2014
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