MEDICARE: SAILI SISODE REKHI DDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1275292450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAILI SISODE REKHI DDS PLLC

Provider Business Mailing Address
First Line	:	3204 N MACARTHUR BLVD STE C
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-8804
Country	:	US
Telephone Number	:	972-258-6462
Fax Number	:

Provider Business Practice Location Address
First Line	:	3204 N MACARTHUR BLVD STE C
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-8804
Country	:	US
Telephone Number	:	972-258-6462
Fax Number	:	972-258-6477

Authorized Official
Title or Position	:	OWNER
Name	:	SAILI SISODE REKHI
Credential	:	DDS
Telephone Number	:	409-330-1380

Provider Enumeration Date	:	12/15/2021
Last Update Date	:	12/15/2021

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