Provider Demographics
NPI:1306391545
Name:WAHI, RICHA (DMD)
Entity Type:Individual
Prefix:
First Name:RICHA
Middle Name:
Last Name:WAHI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 QUYNN LN
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-2509
Mailing Address - Country:US
Mailing Address - Phone:646-549-3429
Mailing Address - Fax:
Practice Address - Street 1:920 N VISTA RIDGE BLVD # 700
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7637
Practice Address - Country:US
Practice Address - Phone:646-549-3429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-17
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32694122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist