Bobby Jivnani Dds Pa

NPI 1336236934 - Dentist - 122300000X

NPI Details
NPI 1336236934
Enumeration Date 10/06/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BOBBY BOBBY
Position CEO
Phone (972) 690-1235
Fax (972) 767-1904
Practice Location
1110 WEST SHORE DR
STE A
RICHARDSON TX, 75080-4057, US
Phone (972) 690-1235
Fax (972) 767-1904
Business Location
1110 WEST SHORE DR
STE A
RICHARDSON TX, 75080-4057, US
Phone (972) 690-1235
Fax (972) 767-1904
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 21255
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According to our database, Bobby Jivnani Dds Pa NPI is 1336236934, taxonomy code is 122300000X and license number is 21255, license state is located at Texas. Bobby Jivnani Dds Pa physically located at 1110 West Shore Dr, Richardson TX, 75080-4057. NPI Number 1033115704 has the healthcare provider type.

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1336236934 NPI number is provided on an as is basis without warranty of any kind. 1336236934 is maintained by the National Plan & Provider Enumeration System. The contents of Bobby Jivnani Dds Pa are for informational purposes only.