| Soumava Sen, Dds, P.c. | |
|
4511 Western Center Blvd Fort Worth TX 76137-2628 | |
| (817) 585-2483 | |
| (817) 585-2484 |
| Full Name | Soumava Sen, Dds, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 4511 Western Center Blvd, Fort Worth, Texas |
| Authorized Official Name and Position | Briseida Curiel (PPO COORDINATOR) |
| 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. 4511 Western Center Blvd Fort Worth TX 76137-2628 Ph: (817) 585-2483 |
| NPI Number | 1235473414 |
|---|---|
| Provider Enumeration Date | 11/12/2012 |
| Last Update Date | 11/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235473414 | NPI | - | NPPES |
| G60850- | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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