Organization
MANDARA 3 PLLC
Active
Other names
Lifetime Mobile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHAVIK MOHANLAL DMD (DENTIST)
(972) 951-0470
Entity
Organization
Contact information
Practice address
1908 CENTRAL DR STE D, BEDFORD, TX 76021-5822
(817) 285-5880
Mailing address
2205 STENNETT DR, ARLINGTON, TX 76006-2807
(972) 951-0470
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134893233
—
TX
05
—
1427767755
—
TX
Enumeration date
11/15/2022
Last updated
08/28/2024
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