Individual
BHAVIK MOHANLAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1908 CENTRAL DR STE D, BEDFORD, TX 76021-5822
(817) 285-8550
Mailing address
1908 CENTRAL DR STE D, BEDFORD, TX 76021-5822
(817) 285-5880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37669
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427767755
—
TX
Enumeration date
08/03/2021
Last updated
08/28/2024
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