Individual
ABHISHEK BHAUMIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2244 S BUCKNER BLVD STE B, DALLAS, TX 75227-8603
(214) 381-0663
Mailing address
2244 S BUCKNER BLVD STE B, DALLAS, TX 75227-8603
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22114561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
TX
Enumeration date
02/18/2013
Last updated
11/27/2015
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