Provider Demographics
NPI:1346783834
Name:K DENTAL FRISCO
Entity Type:Organization
Organization Name:K DENTAL FRISCO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:318-426-5211
Mailing Address - Street 1:3010 LEGACY DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6281
Mailing Address - Country:US
Mailing Address - Phone:972-964-7777
Mailing Address - Fax:888-496-0676
Practice Address - Street 1:3010 LEGACY DR
Practice Address - Street 2:SUITE 130
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6281
Practice Address - Country:US
Practice Address - Phone:972-964-7777
Practice Address - Fax:888-496-0676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-01
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82632261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center