Organization
EKTA SAGAR DDS#2 PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEMANT BAJAJ DO (REGISTERED AGENT)
(713) 213-9148
Entity
Organization
Contact information
Practice address
12665 BISSONNET ST, HOUSTON, TX 77099-1331
(281) 495-8300
Mailing address
12665 BISSONNET ST, HOUSTON, TX 77099-1331
(281) 495-8300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31041
TSBDE
TX
Enumeration date
11/15/2018
Last updated
11/15/2018
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