Restore Dental, Pllc

NPI 1104215367 - Dentist - 1223G0001X

NPI Details
NPI 1104215367
Enumeration Date 01/12/2015
Last Updated 01/14/2016
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name MAHESH B. MAHESH
Position PRESIDENT
Phone (903) 257-8815
Fax (903) 900-4184
Practice Location
3108 W STATE HIGHWAY 22
CORSICANA TX, 75110-2435, US
Phone (903) 257-8815
Fax (903) 900-4184
Business Location
3108 W STATE HIGHWAY 22
CORSICANA TX, 75110-2435, US
Phone (903) 257-8815
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 24942
Remove 1104215367 NPI Number
 

According to our database, Restore Dental, Pllc NPI is 1104215367, taxonomy code is 1223G0001X and license number is 24942, license state is located at Texas. Restore Dental, Pllc physically located at 3108 W State Highway 22, Corsicana TX, 75110-2435. NPI Number 1033115704 has the healthcare provider type.

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1104215367 NPI number is provided on an as is basis without warranty of any kind. 1104215367 is maintained by the National Plan & Provider Enumeration System. The contents of Restore Dental, Pllc are for informational purposes only.