# 817 DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699221036
- **Authorized official:** ROHIT NARAYAN DDS (OWNER/DIRECTOR)
- **Authorized official phone:** (423) 946-9375

## Contact information

- **Practice address:** 1470 W HENDERSON ST, CLEBURNE, TX 76033-5105
- **Practice address phone:** (423) 946-9375
- **Mailing address:** 1470 W HENDERSON ST, CLEBURNE, TX 76033-5105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 26309 | TX | Yes |

## Other

- **Enumeration date:** 08/26/2016
- **Last updated:** 08/26/2016