Organization
DENTSPAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RISHI BAFNA DMD (OWNER)
(617) 794-5879
Entity
Organization
Contact information
Practice address
3680 SH 121, 100, PLANO, TX 75025
(617) 794-5879
Mailing address
3680 SH 121, 100, PLANO, TX 75025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31671
TX
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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