Provider Demographics
NPI:1396473716
Name:SHRI KRISHNA DENTAL SOLUTIONS PLLC
Entity type:Organization
Organization Name:SHRI KRISHNA DENTAL SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MOHINI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:309-531-3358
Mailing Address - Street 1:5129 PORTRAITS PL
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-5740
Mailing Address - Country:US
Mailing Address - Phone:805-402-7535
Mailing Address - Fax:
Practice Address - Street 1:3211 N TENAYA WAY STE 121-122
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7439
Practice Address - Country:US
Practice Address - Phone:702-508-6699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-12
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty