Provider Demographics
NPI:1366865073
Name:VALUE DENTAL OF ARLINGTON
Entity Type:Organization
Organization Name:VALUE DENTAL OF ARLINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR, DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:SURINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHITKARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-387-3498
Mailing Address - Street 1:5081 LITTLE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017
Mailing Address - Country:US
Mailing Address - Phone:817-561-9000
Mailing Address - Fax:
Practice Address - Street 1:5081 LITTLE SCHOOL RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017
Practice Address - Country:US
Practice Address - Phone:817-561-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-31
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX249091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty