Organization
BOBBY JIVNANI DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY JIVNANI DDS (CEO)
(972) 690-1235
Entity
Organization
Contact information
Practice address
1200 COIT ROAD STE 100, PLANO, TX 75075
(972) 690-1235
(972) 767-1904
Mailing address
1200 COIT ROAD STE 100, PLANO, TX 75075
(972) 690-1235
(972) 767-1904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21255
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158482302
—
TX
Enumeration date
10/06/2006
Last updated
07/10/2020
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