# DIVIH, PLLC

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

## Provider details

- **NPI number:** 1821758137
- **Authorized official:** MR. SREERAM BONDE (ADMINISTRATOR)
- **Authorized official phone:** (254) 231-8524

## Contact information

- **Practice address:** 226 N CEDAR RIDGE DR, DUNCANVILLE, TX 75116-3141
- **Practice address phone:** (972) 298-8515
- **Mailing address:** 226 N CEDAR RIDGE DR, DUNCANVILLE, TX 75116-3141

## Taxonomy

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

## Other

- **Enumeration date:** 12/28/2021
- **Last updated:** 12/28/2021