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Organization
MOHAN V R PLLC
Active
Organization
MOHAN V R PLLC
Active
Other names
Elite Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAN RAJ JAGANTHAN DDS (OWNER/DENTIST)
(210) 342-8251
Entity
Organization
Contact information
Practice address
4877 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3627
(210) 342-8251
Mailing address
4877 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3627
(210) 342-8251
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
04/01/2022
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