| Jai Guruji Pllc | |
|
6805 Main St Ste 470 The Colony TX 75056-1159 | |
| (469) 598-1060 | |
| (469) 598-1062 |
| Full Name | Jai Guruji Pllc |
|---|---|
| Speciality | Dentist |
| Location | 6805 Main St Ste 470, The Colony, Texas |
| Authorized Official Name and Position | Tarika Malik (DENTIST/OWNER) |
| Authorized Official Contact | 2144771220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jai Guruji Pllc 5080 Havasu Dr Frisco TX 75036-0858 Ph: (214) 477-1220 | Jai Guruji Pllc 6805 Main St Ste 470 The Colony TX 75056-1159 Ph: (469) 598-1060 |
| NPI Number | 1114696846 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 03/29/2023 |
| Medicare PECOS PAC ID | 6901203843 |
|---|---|
| Medicare Enrollment ID | O20210921000478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114696846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Tarika Malik |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497249106 PECOS PAC ID: 1759788581 Enrollment ID: I20210922000205 |
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