Organization
AVANI DENTISTRY II PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDEEP BASRAI (PRESIDENT)
(509) 939-9600
Entity
Organization
Contact information
Practice address
319 HIGHWAY 36 BYP S, UNIT # 3, GATESVILLE, TX 76528-2741
(509) 939-9600
Mailing address
1222 DELAWARE DR, MANSFIELD, TX 76063-6370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25103
TX
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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