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910 Lee Dildy Blvd #260 Elgin TX 78621 | |
| (832) 369-6775 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 910 Lee Dildy Blvd #260, Elgin, Texas |
| Authorized Official Name and Position | Geetika Rastogi (OWNER) |
| Authorized Official Contact | 8323696941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3838 N Sam Houston Pkwy E Ste 430 Houston TX 77032-3418 Ph: (832) 369-6941 | 910 Lee Dildy Blvd #260 Elgin TX 78621 Ph: (832) 369-6775 |
| NPI Number | 1801351192 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 09/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801351192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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