Provider Demographics
NPI:1679294953
Name:KAKAR, ARUSHI
Entity Type:Individual
Prefix:
First Name:ARUSHI
Middle Name:
Last Name:KAKAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2754 RIDGE VIEW RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4676
Mailing Address - Country:US
Mailing Address - Phone:718-974-7898
Mailing Address - Fax:
Practice Address - Street 1:651 CROSS TIMBERS RD STE 102
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1300
Practice Address - Country:US
Practice Address - Phone:972-434-8050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-06
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX389411223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics