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3108 S 31st St 3108 Temple TX 76502-1803 | |
| (201) 925-0210 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3108 S 31st St, Temple, Texas |
| Authorized Official Name and Position | Ac Chakravarty (BUSINESS MANAGER) |
| Authorized Official Contact | 2019250210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3108 S 31st St 3108 Temple TX 76502-1803 Ph: (201) 925-0210 | 3108 S 31st St 3108 Temple TX 76502-1803 Ph: (201) 925-0210 |
| NPI Number | 1043746274 |
|---|---|
| Provider Enumeration Date | 05/09/2017 |
| Last Update Date | 05/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043746274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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