Individual
ADITYA BHAWSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS, MDS
Contact information
Practice address
4109 HOUSTON HWY STE 200, VICTORIA, TX 77901-4700
(361) 360-6010
Mailing address
4109 HOUSTON HWY STE 200, VICTORIA, TX 77901-4700
(361) 360-6010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
32035
TX
1223P0700X
Prosthodontics
Primary
32035
TX
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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