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Organization
SOUMAVA SEN, DD, P.C.
Active
Organization
SOUMAVA SEN, DD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBEL ZAMORA (ENROLLMENT COORDINATOR)
(714) 571-3104
Entity
Organization
Contact information
Practice address
6081 SCOTT ST, HOUSTON, TX 77021-2663
(713) 440-8999
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
07/16/2021
Last updated
07/16/2021
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