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Organization

NAVASOTA DENTAL, PC

Active
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Organization

NAVASOTA DENTAL, PC

Active
Other names
Navasota Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUSHMITA RATH DDS (OWNER / DENTIST)
(479) 799-5317
Entity
Organization

Contact information

Practice address
415 NORTH LASALLE STREET, SUITE 1A, NAVASOTA, TX 77868
(479) 799-5317
Mailing address
415 NORTH LASALLE STREET, SUITE 1A, NAVASOTA, TX 77868

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29315
TX

Other

Enumeration date
09/08/2014
Last updated
09/08/2014
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