Provider Demographics
NPI:1851738421
Name:DHOLARIYA, MAHESHKUMAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:MAHESHKUMAR
Middle Name:
Last Name:DHOLARIYA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4650 SOUTH FM 1626
Mailing Address - Street 2:SUITE 104
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640
Mailing Address - Country:US
Mailing Address - Phone:512-256-0105
Mailing Address - Fax:
Practice Address - Street 1:4650 SOUTH FM 1626
Practice Address - Street 2:SUITE 104
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640
Practice Address - Country:US
Practice Address - Phone:512-256-0105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-22
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28877122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist