Individual
GAURAV TYAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7001 PRESTON RD STE 205, DALLAS, TX 75205-5102
(214) 522-3366
Mailing address
3030 LBJ FWY, SUITE 1400, DALLAS, TX 75234-7781
(972) 663-5353
(972) 243-6059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29711
TX
1223G0001X
General Practice Dentistry
6439
OK
1223P0700X
Prosthodontics
29711
TX
Other
Enumeration date
07/24/2012
Last updated
02/12/2025
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