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Organization
THE MAIN STREET DENTAL DEPOT, PLLC
Active
Organization
THE MAIN STREET DENTAL DEPOT, PLLC
Active
Other names
Dental Depot
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIMESH I KANA D.D.S. (MANAGING MEMBER)
(972) 795-9205
Entity
Organization
Contact information
Practice address
5014 MAIN ST, THE COLONY, TX 75056-2250
(469) 425-9988
Mailing address
5014 MAIN ST, THE COLONY, TX 75056-2250
(469) 425-9988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22129
TX
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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