Provider Demographics
NPI:1841497740
Name:BUDHANI, AAMIR (DMD)
Entity type:Individual
Prefix:DR
First Name:AAMIR
Middle Name:
Last Name:BUDHANI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2745 N COLLINS ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-7108
Mailing Address - Country:US
Mailing Address - Phone:817-484-5588
Mailing Address - Fax:
Practice Address - Street 1:2745 N COLLINS ST STE 101
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-7108
Practice Address - Country:US
Practice Address - Phone:817-484-5588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21911122300000X
TX238171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist