Provider Demographics
NPI:1356899736
Name:GOEL, AVNI MAHAJAN (DMD)
Entity type:Individual
Prefix:DR
First Name:AVNI
Middle Name:MAHAJAN
Last Name:GOEL
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 1:1011 AUGUSTA DR STE 209
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-2061
Mailing Address - Country:US
Mailing Address - Phone:713-623-0700
Mailing Address - Fax:713-354-3300
Practice Address - Street 1:1011 AUGUSTA DR STE 209
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-2061
Practice Address - Country:US
Practice Address - Phone:713-623-0700
Practice Address - Fax:713-354-3300
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX323001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice