Mista Dental Pllc

NPI #1558070953 in Selma, Texas

Provider Information

NPI Number: 1558070953
Entity Type: Organization
Organization Name: Mista Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 15, 2022
Last Updated: Jun 21, 2023

Practice Location

Address: 8143 AGORA PKWY STE 105
City: Selma
State: Texas
ZIP Code: 78154-1357
Phone: (210) 659-6622

Authorized Official

Name: MANGAYARKARASI MATHIYAZHAGAN
Title: OWNER
Phone: (210) 659-6622

Specialties & Taxonomy Codes

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

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