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Organization

10134 DENTAL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAVINDRA BHAKTI (OWNER)
(281) 561-8868
Entity
Organization

Contact information

Practice address
10134 HWY 6 SOUTH, SUITE 10134, SUGARLAND, TX 77498-4938
(281) 561-8868
Mailing address
10134 HWY 6 SOUTH, SUITE 10134, SUGARLAND, TX 77498-4938
(281) 561-8868

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20244
TX

Other

Enumeration date
05/23/2014
Last updated
05/23/2014
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