Provider Demographics
NPI:1649050642
Name:KIRMAL MASIH-JOSEPH DDS PC
Entity type:Organization
Organization Name:KIRMAL MASIH-JOSEPH DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MASIH-JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-951-6887
Mailing Address - Street 1:670 W CAMPBELL RD STE 120
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3358
Mailing Address - Country:US
Mailing Address - Phone:469-709-8222
Mailing Address - Fax:769-709-8052
Practice Address - Street 1:670 W CAMPBELL RD STE 120
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3358
Practice Address - Country:US
Practice Address - Phone:469-709-8222
Practice Address - Fax:469-709-8052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental