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General NPI Number Information
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NPI Number | 1396473716
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Entity Type | Organization
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Legal Business Name | SHRI KRISHNA DENTAL SOLUTIONS PLLC
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Dates
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Enumeration Date | 08/12/2022
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 3211 N TENAYA WAY STE 121-122
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City | LAS VEGAS
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State | NV
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Zip | 89129-7439
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Country | US
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Telephone | 702-508-6699
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Fax |
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Provider Business Mailing Address
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Address Line | 5129 PORTRAITS PL
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City | LAS VEGAS
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State | NV
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Zip | 89149-5740
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Country | US
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Telephone | 805-402-7535
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | MOHINI PATEL
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Credential | DMD
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Telephone | 309-531-3358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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