| Kashi Dental Llc | |
|
9163 Fm 78 Suite # 1 Converse TX 78109 | |
| (617) 412-0792 | |
| Not Available |
| Full Name | Kashi Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9163 Fm 78, Converse, Texas |
| Authorized Official Name and Position | Sumeet Malhotra (PRESIDENT) |
| Authorized Official Contact | 6174120792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kashi Dental Llc 9163 Fm 78 Suite # 1 Converse TX 78109 Ph: () - | Kashi Dental Llc 9163 Fm 78 Suite # 1 Converse TX 78109 Ph: (617) 412-0792 |
| NPI Number | 1417305806 |
|---|---|
| Provider Enumeration Date | 05/26/2016 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417305806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 26104 (Texas) | Primary |
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