| Soumava Sen, Dds, P.c. | |
|
3411 Sycamore School Rd Fort Worth TX 76123-3030 | |
| (817) 918-3295 | |
| (817) 918-3304 |
| Full Name | Soumava Sen, Dds, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 3411 Sycamore School Rd, Fort Worth, 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) 571-6493 | Soumava Sen, Dds, P.c. 3411 Sycamore School Rd Fort Worth TX 76123-3030 Ph: (817) 918-3295 |
| NPI Number | 1619214764 |
|---|---|
| Provider Enumeration Date | 01/09/2013 |
| Last Update Date | 01/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619214764 | NPI | - | NPPES |
| G60850- | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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