| Soumava Sen,dds,p.c. | |
|
12127 Lake June Rd Balch Springs TX 75180-1631 | |
| (972) 865-7074 | |
| (972) 865-7106 |
| Full Name | Soumava Sen,dds,p.c. |
|---|---|
| Speciality | Dentist |
| Location | 12127 Lake June Rd, Balch Springs, Texas |
| Authorized Official Name and Position | Soumava Sen (OWNER) |
| Authorized Official Contact | 7144803000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soumava Sen,dds,p.c. 530 S Main St Orange CA 92868-4525 Ph: (714) 480-3000 | Soumava Sen,dds,p.c. 12127 Lake June Rd Balch Springs TX 75180-1631 Ph: (972) 865-7074 |
| NPI Number | 1649658634 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 05/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649658634 | NPI | - | NPPES |
| G60850 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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