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Organization
MINEOLA DENTAL PLLC
Active
Organization
MINEOLA DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROHIT NARAYAN DDS (OWNER/DENTIST)
(423) 946-9375
Entity
Organization
Contact information
Practice address
344 NW LOOP 564 STE 400, MINEOLA, TX 75773-1128
(903) 948-1563
Mailing address
5113 CEDAR BRUSH DR, FORT WORTH, TX 76123-2962
(423) 946-9375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26309
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26309
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
06/05/2018
Last updated
06/05/2018
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