NPI 1104215367

Restore Dental PLLC

Organisation Dental Clinic/Center Corsicana, TX

Practice location

Address: 3108 W State Highway 22, Corsicana, TX 75110-2435
Phone: (903) 257-8815
Fax: (903) 900-4184

Authorised official

Name: Mahesh B. Gondi
Title: President
Phone: (903) 257-8815

Registered specialties (2)

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 22213 (TX)

Other Clinic/Center providers in Texas →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 22213 (TX)

Other Dentist providers in Texas →

Registry record

NPI: 1104215367
Entity type: Organization
NPI issued: 12 Jan 2015
Record last updated: 14 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.