Provider Demographics
NPI:1952775744
Name:AURA DENTAL , PA
Entity Type:Organization
Organization Name:AURA DENTAL , PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHARSHI
Authorized Official - Middle Name:
Authorized Official - Last Name:YAGNIK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:832-726-8794
Mailing Address - Street 1:8568 HIGHWAY 6 N
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2242
Mailing Address - Country:US
Mailing Address - Phone:832-726-8794
Mailing Address - Fax:
Practice Address - Street 1:8568 HIGHWAY 6 N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2242
Practice Address - Country:US
Practice Address - Phone:832-726-8794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-17
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27135261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental