Tx-desai Dental-selma Pllc | |
8143 Agora Pkwy 105 Selma TX 78154-1341 | |
(315) 454-6000 | |
Not Available |
Full Name | Tx-desai Dental-selma Pllc |
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Speciality | Dentist - General Practice |
Location | 8143 Agora Pkwy, Selma, Texas |
Authorized Official Name and Position | Jagruti Desai (OWNER) |
Authorized Official Contact | 3154546000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tx-desai Dental-selma Pllc Po Box 3189 Syracuse NY 13220-3189 Ph: () - | Tx-desai Dental-selma Pllc 8143 Agora Pkwy 105 Selma TX 78154-1341 Ph: (315) 454-6000 |
NPI Number | 1902238587 |
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Provider Enumeration Date | 08/06/2013 |
Last Update Date | 08/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902238587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 29090 (Texas) | Primary |
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