Individual
AKHILESH SHIKARIPUR MOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3203 FREEDOM BLVD STE 400, BRYAN, TX 77802-5018
(979) 985-5505
Mailing address
3203 FREEDOM BLVD STE 400, BRYAN, TX 77802-5018
(979) 985-5505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36242
TX
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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