Poonam Rai LLC

NPI #1285077693 in Flower Mound, Texas

Provider Information

NPI Number: 1285077693
Entity Type: Organization
Organization Name: Poonam Rai LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 16, 2013
Last Updated: Apr 16, 2013

Practice Location

Address: 2704 CROSS TIMBERS RD
Address 2: #108
City: Flower Mound
State: Texas
ZIP Code: 75028-2756
Phone: (972) 874-1890

Authorized Official

Name: POONAM RAI, DDS
Title: OWNER
Phone: (972) 874-1890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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