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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
SOUMAVA SEN (OWNER)
(714) 480-3000
Entity
Organization
Contact information
Practice address
8425 BANDERA RD, 172, SAN ANTONIO, TX 78250-2576
(210) 202-3280
(210) 202-3289
Mailing address
530 S MAIN ST, ORANGE, CA 92868-4525
(714) 480-3000
(714) 571-6445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G60850-
—
TX
Enumeration date
01/09/2013
Last updated
01/11/2013
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