Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 23637 | TX |
NPI | 1033374327 |
---|---|
Provider Name | Dr. Arvind Shanadi |
First Address | Dallas, TX 75206-8380 |
Second Address | Dallas, TX 75214-2000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2008 |
Last Update Date | 23/09/2015 |