Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 27507 | TX |
Y | 1223D0001X | Dental Public Health | 27507 | TX |
NPI | 1417371923 |
---|---|
Provider Name | Dr. Yashashri Urankar |
First Address | Dallas, TX 75226-2718 |
Second Address | Dallas, TX 75246-2013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2014 |
Last Update Date | 05/02/2014 |