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Organization
MAIN STREET DOWNTOWN DENTAL PLLC
Active
Organization
MAIN STREET DOWNTOWN DENTAL PLLC
Active
Other names
Downtown Dental PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAJURI RAMCHAND DDS (MANAGING MEMBER)
(469) 734-7942
Entity
Organization
Contact information
Practice address
226 MAIN ST, SULPHUR SPRINGS, TX 75482-2707
(469) 734-7942
Mailing address
207 E 6TH ST, BONHAM, TX 75418-3729
(469) 734-7942
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22768
TX
122300000X
Dentist
Primary
23850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811156813
—
TX
05
—
1942424437
—
TX
Enumeration date
11/26/2013
Last updated
12/03/2013
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