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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
PEGGY M VARGAS (CREDENTIALING COORDINATOR)
(714) 571-6481
Entity
Organization
Contact information
Practice address
8455 CRESTWAY ROAD, SUITE 101, CONVERSE, TX 78109
(210) 202-3280
(210) 202-3289
Mailing address
530 S MAIN ST, ORANGE, CA 92868-4525
(714) 571-6481
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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