Provider Demographics
NPI:1023561933
Name:KALRA, ABHINAV (DDS)
Entity Type:Individual
Prefix:
First Name:ABHINAV
Middle Name:
Last Name:KALRA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 HIGHWAY 287 N STE 160
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-7571
Mailing Address - Country:US
Mailing Address - Phone:817-453-1001
Mailing Address - Fax:817-453-1221
Practice Address - Street 1:1811 HIGHWAY 287 N STE 160
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7571
Practice Address - Country:US
Practice Address - Phone:817-453-1001
Practice Address - Fax:817-453-1221
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-27
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38405122300000X
IL019030901122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist