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NPI Code Detail

MEDICARE: SHRI KRISHNA DENTAL SOLUTIONS PLLC

MEDICARE: SHRI KRISHNA DENTAL SOLUTIONS 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
11223G0001XGeneral Practice Dentistry

General Provider Information

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

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Directions to “SHRI KRISHNA DENTAL SOLUTIONS PLLC ” Practice Location

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