Organization
EAST TX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROHIT NARAYAN DDS (OWNER/DENTIST)
(903) 242-8594
Entity
Organization
Contact information
Practice address
2414 GILMER RD, LONGVIEW, TX 75604-2111
(903) 242-8594
(903) 282-1405
Mailing address
2414 GILMER RD, LONGVIEW, TX 75604-2111
(903) 242-8594
(903) 282-1405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26309
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
04/30/2021
Last updated
04/30/2021
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