Provider Demographics
NPI:1841490240
Name:PALHAN, SHALU (DMD)
Entity type:Individual
Prefix:DR
First Name:SHALU
Middle Name:
Last Name:PALHAN
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 1:8435 SOUTHWESTERN BLVD
Mailing Address - Street 2:APT 5103
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-2239
Mailing Address - Country:US
Mailing Address - Phone:214-417-8301
Mailing Address - Fax:
Practice Address - Street 1:8435 SOUTHWESTERN BLVD
Practice Address - Street 2:APT 5103
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-2239
Practice Address - Country:US
Practice Address - Phone:214-417-8301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX234901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice