Individual
DR. JAY PRAFUL BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22510 IH 35 STE 104, KYLE, TX 78640-6688
(512) 888-9340
Mailing address
22510 IH 35 STE 104, KYLE, TX 78640-6688
(512) 888-9340
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38172
TX
122300000X
Dentist
61822
KS
Other
Enumeration date
07/20/2021
Last updated
06/02/2024
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