Our Dentist Pllc

NPI #1114222627 in Plano, Texas

Provider Information

NPI Number
1114222627
Entity Type
Organization
Organization Name
Our Dentist Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 13, 2011
Last Updated
Jan 13, 2011

Practice Location

Address
8025 AMBIANCE WAY
City
Plano
State
Texas
ZIP Code
75024-6839
Phone
(469) 688-3171

Authorized Official

Name
SHALAKA ABHIJIT NESARIKAR, D.D.S.
Title
MEMBER MANAGER
Phone
(972) 241-1352

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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