Provider Demographics
NPI:1801978507
Name:SOOD, RITU (DMD)
Entity type:Individual
Prefix:DR
First Name:RITU
Middle Name:
Last Name:SOOD
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 1:2601 S STEMMONS FWY
Mailing Address - Street 2:STE # 160
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-4137
Mailing Address - Country:US
Mailing Address - Phone:214-488-3368
Mailing Address - Fax:214-446-8957
Practice Address - Street 1:2601 S STEMMONS FWY
Practice Address - Street 2:STE # 160
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4137
Practice Address - Country:US
Practice Address - Phone:214-488-3368
Practice Address - Fax:214-446-8957
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX219221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice