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804 S Central Expy Suite 201 Anna TX 75409-4512 | |
| (214) 872-2391 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 804 S Central Expy, Anna, Texas |
| Authorized Official Name and Position | Seema Bhakta (PRINCIPAL/OWNER) |
| Authorized Official Contact | 2148722391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11795 Mordor Ln Frisco TX 75035-6931 Ph: (214) 872-2391 | 804 S Central Expy Suite 201 Anna TX 75409-4512 Ph: (214) 872-2391 |
| NPI Number | 1942587209 |
|---|---|
| Provider Enumeration Date | 11/14/2011 |
| Last Update Date | 11/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942587209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23860 (Texas) | Primary |
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