Organization Name: | HARKER HEIGHTS ROYAL DENTAL CENTER, PLLC |
NPI Number: | 1124318431 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SURENDRA B RAJBHANDARI (PRESIDENT/MANAGER) |
Mailing Address: | 480 E Fm 2410 Rd Suite 200 Harker Heights |
State: | TX US |
Postal Code: | 765485721 |
Phone Number: | 4025758404 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2011 |
NPI Last Update Date: | 04/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 26113 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |