Individual
ANIL KUMAR MADAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3109 EDGAR BROWN DR STE H, WEST ORANGE, TX 77630-5381
(409) 330-4252
Mailing address
7225 9TH AVE APT 1225, PORT ARTHUR, TX 77642-2093
(617) 453-4537
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34678
TX
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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