Prachi D Shah DDS PC

NPI #1619372547 in Pantego, Texas

Provider Information

NPI Number: 1619372547
Entity Type: Organization
Organization Name: Prachi D Shah DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 4, 2014
Last Updated: Nov 4, 2014

Practice Location

Address: 2313 W ARKANSAS LN
Address 2: SUITE 111
City: Pantego
State: Texas
ZIP Code: 76013-6064
Phone: (817) 860-2222

Authorized Official

Name: PRACHI D SHAH, D.D.S
Title: PRESIDENT/DENTIST
Phone: (817) 860-2222

Specialties & Taxonomy Codes

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

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