Provider Demographics
NPI:1114696846
Name:JAI GURUJI PLLC
Entity Type:Organization
Organization Name:JAI GURUJI PLLC
Other - Org Name:CARE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TARIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:214-477-1220
Mailing Address - Street 1:5080 HAVASU DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75036-0858
Mailing Address - Country:US
Mailing Address - Phone:214-477-1220
Mailing Address - Fax:
Practice Address - Street 1:6805 MAIN ST STE 470
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-1159
Practice Address - Country:US
Practice Address - Phone:469-598-1060
Practice Address - Fax:469-598-1062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty