Ganeshaparshwa Pllc

NPI #1043783152 in Justin, Texas

Provider Information

NPI Number: 1043783152
Entity Type: Organization
Organization Name: Ganeshaparshwa Pllc
Primary Specialty: Dentist
Enumeration Date: Jan 10, 2019
Last Updated: Jan 10, 2019

Practice Location

Address: 815 W 1ST ST STE B
City: Justin
State: Texas
ZIP Code: 76247-9618
Phone: (940) 242-2022

Authorized Official

Name: MARITZA DURAN
Title: DELEGATED OFFICIAL
Phone: (516) 229-1441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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