Provider Demographics
NPI:1760630727
Name:DHIR, GUNJAN (BDS, MS)
Entity Type:Individual
Prefix:DR
First Name:GUNJAN
Middle Name:
Last Name:DHIR
Suffix:
Gender:F
Credentials:BDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 EXCHANGE ST
Mailing Address - Street 2:STE D
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028
Mailing Address - Country:US
Mailing Address - Phone:817-426-9337
Mailing Address - Fax:817-426-9336
Practice Address - Street 1:225 EXCHANGE ST
Practice Address - Street 2:STE D
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028
Practice Address - Country:US
Practice Address - Phone:817-426-9337
Practice Address - Fax:817-426-9336
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX243481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice