Provider Demographics
NPI:1013323567
Name:GARG, BINDIYA (DMD)
Entity Type:Individual
Prefix:
First Name:BINDIYA
Middle Name:
Last Name:GARG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4315 LONG CLIMB CYN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-4405
Mailing Address - Country:US
Mailing Address - Phone:786-553-5934
Mailing Address - Fax:281-476-7042
Practice Address - Street 1:14270 FM 2100 RD
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532-9151
Practice Address - Country:US
Practice Address - Phone:281-328-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-05
Last Update Date:2014-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX302201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice