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Organization
KINNARI PRAJAPATI, D.D.S., PA
Active
Organization
KINNARI PRAJAPATI, D.D.S., PA
Active
Other names
Canyon Creek Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINNARI PRAJAPATI D.D.S. (PRESIDENT)
(254) 771-5900
Entity
Organization
Contact information
Practice address
1618 CANYON CREEK DR, SUITE 110, TEMPLE, TX 76502-3275
(254) 771-5900
(254) 771-5380
Mailing address
7718 BUCKMEADOW DR, GEORGETOWN, TX 78628-3708
(512) 869-8300
(512) 869-8300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20617
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01361994
UC
TX
01
—
B20617
BCBS
TX
Enumeration date
03/01/2007
Last updated
08/22/2020
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