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NPI Code Detail

MEDICARE: HETAL MAHENDRA NATHA

MEDICARE: HETAL MAHENDRA NATHA
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
1124Q00000XDental Hygienist15593TX

General Provider Information

NPI Number : 1285862854
Entity Type Code : Individual
Provider Name (Legal Business Name) : HETAL MAHENDRA NATHA
Provider Business Mailing Address
First Line : 2712 E ABRAM ST
Second Line :
City : ARLINGTON
State : TX
Zip : 76010-1437
Country : US
Telephone Number : 512-789-7564
Fax Number :
Provider Business Practice Location Address
First Line : 8608 PRESTON RD
Second Line : SUITE 112
City : PLANO
State : TX
Zip : 75024-3316
Country : US
Telephone Number : 888-749-3297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2009
Last Update Date : 06/23/2009

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Directions to “ HETAL MAHENDRA NATHA ” Practice Location

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