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Individual
PURVI NAYAK
Active
Individual
PURVI NAYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34849
TX
1223G0001X
General Practice Dentistry
34849
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34849
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
02/06/2019
Last updated
09/21/2021
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