Organization
DENTAL DEPOT OF LITTLE ELM, PLLC
Active
Other names
Dental Depot of Little Elm
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HIMESH I KANA DDS (CHIEF EXECUTIVE OFFICER)
(729) 758-8999
Entity
Organization
Contact information
Practice address
26747 E UNIVERSITY DR., AUBREY, TX 76227
(972) 884-0065
(972) 863-0499
Mailing address
PO BOX 561205, THE COLONY, TX 75056
(972) 703-2525
(972) 332-0141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336233022
NPI
TX
01
—
1548381536
NPI
TX
01
—
1982736864
NPI
TX
Enumeration date
04/24/2019
Last updated
11/22/2019
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