Provider Demographics
NPI:1598473944
Name:ROMIL PASRIJA DENTAL PLLC
Entity Type:Organization
Organization Name:ROMIL PASRIJA DENTAL PLLC
Other - Org Name:BROOKSHIRE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
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:857-496-8161
Mailing Address - Street 1:30543 KINGSLAND BLVD
Mailing Address - Street 2:#140
Mailing Address - City:BROOKSHIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77423
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30543 KINGSLAND BLVD
Practice Address - Street 2:#140
Practice Address - City:BROOKSHIRE
Practice Address - State:TX
Practice Address - Zip Code:77423
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:2022-11-14
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty