Soumava Sen, Dds, P.c.

NPI #1992051346 in Fort Worth, Texas

Provider Information

NPI Number: 1992051346
Entity Type: Organization
Organization Name: Soumava Sen, Dds, P.c.
Primary Specialty: Dentist
Enumeration Date: Aug 2, 2012
Last Updated: Aug 2, 2012

Practice Location

Address: 6000 CAMP BOWIE BLVD
Address 2: SUITE 120
City: Fort Worth
State: Texas
ZIP Code: 76116-5606
Phone: (817) 585-2475

Authorized Official

Name: PEGGY M VARGAS
Title: CREDENTIALING COORDINATOR
Phone: (714) 571-6481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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