Organization Name: | ELDORADO FAMILY DENTISTRY, PA |
NPI Number: | 1093832693 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SEJAL KAMALESH VINAYAGAMURTHY (DENTIST) |
Mailing Address: | 2405 Fm 423 Ste 100 Little Elm |
State: | TX US |
Postal Code: | 750686666 |
Phone Number: | 2147057272 |
Fax Number: | 2147057892 |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223G0001X |
License Number: | 20557 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: | A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |