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Organization
KHUSH DENTISTRY PLLC
Active
Organization
KHUSH DENTISTRY PLLC
Active
Other names
AGAVE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
SUMEET SINGH MALHOTRA (OWNER)
(617) 412-0792
Entity
Organization
Contact information
Practice address
119 BUSINESS PARK DRIVE, SUITE 200, KENEDY, TX 78119
(830) 393-8333
Mailing address
2006 10TH ST, FLORESVILLE, TX 78114-2770
(830) 393-8333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26104
TX
261QD0000X
Dental Clinic/Center
26104
TX
Other
Enumeration date
11/21/2014
Last updated
12/19/2014
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