Provider Demographics
NPI:1235641416
Name:VASHISHT, ARUN (MDS)
Entity Type:Individual
Prefix:
First Name:ARUN
Middle Name:
Last Name:VASHISHT
Suffix:
Gender:M
Credentials:MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22046 SUMMER SHOWER CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2223
Mailing Address - Country:US
Mailing Address - Phone:201-401-2348
Mailing Address - Fax:
Practice Address - Street 1:224 HIGHWAY 290 W
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-9166
Practice Address - Country:US
Practice Address - Phone:979-830-5022
Practice Address - Fax:979-830-5004
Is Sole Proprietor?:No
Enumeration Date:2017-10-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX336071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice