Provider Demographics
NPI:1225590706
Name:PASRIJA DENTAL PLLC
Entity Type:Organization
Organization Name:PASRIJA DENTAL PLLC
Other - Org Name:ATASCOCITA FAMILY SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PASRIJA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:281-852-2288
Mailing Address - Street 1:7810 FM 1960 RD E STE 105
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2252
Mailing Address - Country:US
Mailing Address - Phone:857-496-8161
Mailing Address - Fax:
Practice Address - Street 1:7810 FM 1960 RD E STE 105
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2252
Practice Address - Country:US
Practice Address - Phone:857-496-8161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-03
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty