The Main Street Dental Depot, Pllc
NPI #1609238393 in The Colony, Texas
Provider Information
- NPI Number
- 1609238393
- Entity Type
- Organization
- Organization Name
- The Main Street Dental Depot, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 22, 2016
- Last Updated
- Mar 22, 2016
Practice Location
- Address
- 5014 MAIN ST
- City
- The Colony
- State
- Texas
- ZIP Code
- 75056-2250
- Phone
- (469) 425-9988
Authorized Official
- Name
- DR. HIMESH I KANA, D.D.S.
- Title
- MANAGING MEMBER
- Phone
- (972) 795-9205
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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