| 817 Dental Pllc | |
|
1470 W Henderson St Cleburne TX 76033-5105 | |
| (423) 946-9375 | |
| Not Available |
| Full Name | 817 Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1470 W Henderson St, Cleburne, Texas |
| Authorized Official Name and Position | Rohit Narayan (OWNER/DIRECTOR) |
| Authorized Official Contact | 4239469375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 817 Dental Pllc 1470 W Henderson St Cleburne TX 76033-5105 Ph: () - | 817 Dental Pllc 1470 W Henderson St Cleburne TX 76033-5105 Ph: (423) 946-9375 |
| NPI Number | 1699221036 |
|---|---|
| Provider Enumeration Date | 08/26/2016 |
| Last Update Date | 08/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699221036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 26309 (Texas) | Primary |
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