Individual
DR. CHINMAY DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 S MAIN ST STE 360, KELLER, TX 76248-7024
(817) 740-0045
Mailing address
403 STOCKTON DR, SOUTHLAKE, TX 76092-2229
(817) 430-6334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20905
TX
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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