Dentspan PLLC
Dentist, General Practice in Plano, TX. Organization (NPI-2).
NPI number1982147708
StatusActive
Last updated in NPPESNov 28, 2016
Details
- NPI
- 1982147708
- Entity type
- Organization (NPI-2)
- Legal business name
- Dentspan PLLC
- Organization subpart
- No
- Enumeration date
- Nov 28, 2016
- Last updated
- Nov 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 31671 | TX | Yes |
Practice location
3680 Sh 121100
Plano, TX 75025
Phone 617-794-5879
Mailing address
3680 Sh 121100
Plano, TX 75025
Authorized official
Rishi Bafna
Owner
6177945879
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