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1260 W Round Grove Rd Ste 100 Lewisville TX 75067-8075 | |
| (972) 441-2345 | |
| (972) 332-0141 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1260 W Round Grove Rd Ste 100, Lewisville, Texas |
| Authorized Official Name and Position | Himesh I Kana (MANAGING PARTNER DENTAL DEPOT DFW) |
| Authorized Official Contact | 9727959205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1260 W Round Grove Rd Ste 200 Lewisville TX 75067-8075 Ph: (972) 441-2345 | 1260 W Round Grove Rd Ste 100 Lewisville TX 75067-8075 Ph: (972) 441-2345 |
| NPI Number | 1437767290 |
|---|---|
| Provider Enumeration Date | 07/17/2020 |
| Last Update Date | 04/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437767290 | NPI | - | NPPES |
| 1528417110 | Other | TX | NPI |
| 1548381536 | Other | TX | NPI |
| 1982736864 | Other | TX | NPI |
| 1336233022 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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