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Organization
SRISHTI MEHTA DDS MS PLLC
Active
Organization
SRISHTI MEHTA DDS MS PLLC
Active
Other names
Indigo Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRISHTI MEHTA DDS (OWNER/ORTHDONTIST)
(405) 208-9618
Entity
Organization
Contact information
Practice address
7975 W GRAND PKWY S, #130, RICHMOND, TX 77407-8604
(281) 201-2087
Mailing address
5407 ABINGTON CREEK LN, SUGAR LAND, TX 77479-4383
(405) 208-9618
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821127762
—
OK
Enumeration date
02/05/2017
Last updated
02/05/2017
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