| Mista Dental Pllc | |
|
8143 Agora Pkwy Ste 105 Selma TX 78154-1357 | |
| (210) 659-6622 | |
| Not Available |
| Full Name | Mista Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8143 Agora Pkwy Ste 105, Selma, Texas |
| Authorized Official Name and Position | Mangayarkarasi Mathiyazhagan (OWNER) |
| Authorized Official Contact | 2106596622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mista Dental Pllc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Mista Dental Pllc 8143 Agora Pkwy Ste 105 Selma TX 78154-1357 Ph: (210) 659-6622 |
| NPI Number | 1558070953 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 06/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558070953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Rashad M. Altawaty Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8143 Agora Pkwy, Ste 105, Selma, TX 78154 Phone: 210-659-6622 | |
Soumava Sen, Dds, P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15069 Ih 35 N, Suite 218, Selma, TX 78154 Phone: 210-787-2367 Fax: 210-807-6149 | |
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Tx-desai Dental-selma Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8143 Agora Pkwy, 105, Selma, TX 78154 Phone: 315-454-6000 |